Wellformed AI

NPI 1255360442 · live from the CMS NPI Registry

Kimberly Diane Hart, M.A. CCC-A

Audiologist in Cheyenne, WY. National Provider Identifier 1255360442, active.

NPI record

NPI1255360442 Type 1 · individual
StatusActive
Primary specialtyAudiologist 231H00000X
Practice location2360 E Pershing Blvd, Cheyenne, WY 82001
Practice phone307-778-7550
Mailing address3526 Coneflower Dr, Fort Collins, CO 80521
EnumeratedJuly 1, 2006
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist primary231H00000X323 (CO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.