NPI 1730102542 · live from the CMS NPI Registry
Kerstin M Anderson, Audiologist
Audiologist in Provo, UT. National Provider Identifier 1730102542, active.
NPI record
| NPI | 1730102542 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 395 W Cougar Blvd Ste 501, Provo, UT 84604 |
| Practice phone | 801-357-4945 |
| Mailing address | Po Box 27128, Salt Lake City, UT 84127 |
| Enumerated | July 25, 2006 |
| Last updated | April 6, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | 55646794101 (UT) |
| Audiologist primary | 231H00000X | 5564679-4101 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.