Kelly Jon Gose
Hearing Instrument Specialist in Shawnee, OK. Individual provider (NPI-1).
NPI number1386957868
StatusActive
Last updated in NPPESJul 26, 2010
Details
- NPI
- 1386957868
- Entity type
- Individual (NPI-1)
- Name
- Kelly Jon Gose
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2010
- Last updated
- Jul 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 237700000X | Hearing Instrument Specialist | 1020 | OK | Yes |
Practice location
507 W Benedict StShawnee, OK 74801-6005
Phone 405-273-6203 · Fax 405-273-6220
Mailing address
507 W Benedict StShawnee, OK 74801-6005
Phone 405-273-6203 · Fax 405-273-6220
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