NPI 1073647624
Nicole K Keller, AUD
Practice location
- Address
- 22 Sugar Creek Ctr, Bella Vista, AR 72714-3507
- Phone
- (479) 876-0110
- Fax
- (479) 876-0111
Registered specialties
Audiologist
Primary
Registry record
- NPI
- 1073647624
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Mar 2007
- Record last updated
- 8 Jul 2007
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.