NPI 1134802630

Keontra Tyes

Practitioner Audiologist Decatur, GA

Practice location

Address: 484 Irvin CT, Decatur, GA 30030-5406
Phone: (404) 297-4248

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence AUD004381 (GA)

Other Audiologist providers in Georgia →

Registry record

NPI: 1134802630
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2023
Record last updated: 10 Aug 2023

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.