NPI 1013142207

Shawny Jerretta Blake, BCHIS

Practitioner Hearing Instrument Specialist Kennett, MO

Practice location

Address: 913b Saint Francis St, Kennett, MO 63857-1779
Phone: (573) 888-9881

Registered specialties

Hearing Instrument Specialist Primary

Speech, Language and Hearing Service Providers Taxonomy 237700000X Licence 1003 (MO)

Other Hearing Instrument Specialist providers in Missouri →

Registry record

NPI: 1013142207
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2009
Record last updated: 18 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.