Whalio Doctors

NPI 1336221720

Kelly Lynn Koder, AUD

Practitioner Audiologist Mountain Home, TN

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
Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 7441 (NC)

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.