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Contact Information

KELLIE C KOKER, MA CCCA
2601 KENTUCKY AVE
DOC BLDG 1, STE 201
PADUCAH, KY42003-3817
 Phone: 270-575-0079
 Fax: 270-575-0646
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist-Hearing Aid Fitter

237600000X
Indicates primary specialty

NPI Profile & details for KELLIE C KOKER · (Female)

NPI Number 1831356849
Status Active
Credentials MA CCCA
Entity Individual
Enumeration date 05/19/2008
Last updated 05/19/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • KY License # KY0405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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