Ms. Kelly L. Chastain-mcdowell MA CCC A
Audiologist in Bedford, IN(View on Map)
Full Name
Ms. Kelly Lynn Chastain-mcdowell MA CCC A
NPI Number
1467428110
NPI Type
Individual Provider
Gender
Female
Enumeration Date
02/23/2006
Specialties
(Taxonomies)Name
Code
231H00000X
231HA2400X
231HA2500X
237600000X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Indiana
License Number
23002103A
Contact
Information
Purpose
Mailing
Location
Address
3525 MITCHELL RD STE B
3525 MITCHELL RD STE B
City
Bedford
Bedford
State
IN
IN
Postal Code
47421-5558
47421-5558
Country
US
US
Telephone Number
(812) 275-4479
(812) 275-4479
Identifiers
Identifier
200028290
Identifier State
IN
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/25/2014