NPI 1124043005

Kelly Jo Gitter, MSCCC

Practitioner Audiologist Green Bay, WI

Practice location

Address: 1821 S Webster Ave, Green Bay, WI 54301-2253
Phone: (920) 496-4700
Fax: (920) 496-4705
Mailing address: PO Box 19070 Prevea Health, Green Bay, WI 54307-9070

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 142 (WI)

Other Audiologist providers in Wisconsin →

Registry record

NPI: 1124043005
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jul 2006
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.