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NPI 1699873737 · live from the CMS NPI Registry

Mary Archer-Koike, CCC-A

Audiologist in Morgantown, WV. National Provider Identifier 1699873737, active.

NPI record

NPI1699873737 Type 1 · individual
StatusActive
Primary specialtyAudiologist 231H00000X
Practice location1 Stadium Drive, Morgantown, WV 26506
Practice phone304-598-4800
Mailing addressPo Box 897, Morgantown, WV 26507
EnumeratedSeptember 20, 2006
Last updatedJanuary 6, 2009
Sole proprietorNo
Other namesMary Archer

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist primary231H00000XA-0037 (WV)

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