Kelly M Anderson, AUD
Audiologist in Bend, Oregon
1083234710- Practice location
- 780 NW York Dr Ste 102, Bend, OR 97703-1054
- Phone
- 541-280-7548
- Fax
- 541-904-8378
- Last updated
- October 16, 2024
Kelly M Anderson, AUD is a Audiologist based in Bend, OR. Kelly M Anderson, AUD holds the professional credentials of AUD. The NPI number for Kelly M Anderson, AUD is 1083234710 and holds license No. 030899 (OR). The current practice location address is 780 NW York Dr Ste 102, Bend, OR 97703-1054 and the office can be reached by phone at 541-280-7548 and by fax at 541-904-8378. The NPI was assigned on April 22, 2020 and the record was last updated in NPPES on October 16, 2024.
●Provider Profile Details
- NPI Number
- 1083234710
- Provider Name
- Kelly Mankin Anderson
- Credential
- AUD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Audiologist · 231H00000X
- Sole Proprietor
- Yes
- Enumeration Date
- April 22, 2020
- Last Update Date
- October 16, 2024
- Certification Date
- October 16, 2024
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 780 NW York Dr Ste 102
Bend, OR 97703-1054 - City
- Bend
- State
- Oregon
- ZIP
- 97703-1054
- Country
- US
- Phone Number
- 541-280-7548
- Fax Number
- 541-904-8378
✉Business Mailing Address
- Address
- 780 NW York Dr Ste 102
Bend, OR 97703-1054 - City
- Bend
- State
- OR
- ZIP
- 97703-1054
- Phone Number
- 541-280-7548
- Fax Number
- 541-904-8378
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | No | — | — |
| Audiologist | 231H00000X | Yes | 030899 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Bend →?Frequently Asked Questions
What is the NPI number of Kelly M Anderson, AUD?
The NPI number of Kelly M Anderson, AUD is 1083234710. It was assigned on April 22, 2020 and is currently active in the NPPES registry.
What is the specialty of Kelly M Anderson, AUD?
Kelly M Anderson, AUD is registered under the primary taxonomy Audiologist (code 231H00000X) and holds license No. 030899 (OR).
Where does Kelly M Anderson, AUD practice?
The practice location is 780 NW York Dr Ste 102, Bend, OR 97703-1054. The office can be reached at 541-280-7548 (phone) or 541-904-8378 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083234710 directly on the NPPES registry website at npiregistry.cms.hhs.gov.