DR. Kelly Lynne Hansen, AUD

NPI #1962492025 in Trinity, Florida

Provider Information

NPI Number
1962492025
Entity Type
Individual
Name
DR. Kelly Lynne Hansen, AUD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Audiologist
Credential
AUD
Enumeration Date
Oct 28, 2005
Last Updated
Feb 5, 2009

Practice Location

Address
8605 EASTHAVEN CT
Address 2
SUITE 101
State
Florida
ZIP Code
34655-5216
Phone
(727) 372-1130

Specialties & Taxonomy Codes

Specialty
Audiologist

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