NPI 1336221720
Kelly Lynn Koder, AUD
Practice location
- Address
- James H. Quillen/Vamc Corner of Sidney & Lamont St, Mountain Home, TN 37684
- Phone
- (423) 926-1171
- Fax
- (423) 979-3403
- Mailing address
- 207 E Mill St, Elizabethton, TN 37643-2001
Registered specialties
Audiologist
Primary
Registry record
- NPI
- 1336221720
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Oct 2006
- Record last updated
- 16 Jul 2008
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.