NPI 1083069488
Makenzi Gwinn, AUD
Practice location
- Address
- 777 Hospital Way STE 115, Pocatello, ID 83201-5175
- Phone
- (208) 239-1960
- Fax
- (208) 478-0076
Registered specialties
Audiologist
Primary
Registry record
- NPI
- 1083069488
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 May 2016
- Record last updated
- 5 Apr 2018
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.