NPI 1306869250 · live from the CMS NPI Registry
William Kelly Dick, PHD
Audiologist in Provo, UT. National Provider Identifier 1306869250, active.
NPI record
| NPI | 1306869250 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 1034 N 500 W, Provo, UT 84604 |
| Practice phone | 801-373-7850 |
| Mailing address | Po Box 30180, Salt Lake City, UT 84130 |
| Enumerated | July 25, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 1070034101 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.