Provider Demographics
NPI:1114372216
Name:ABSHER, KELLY (LHAS)
Entity Type:Individual
Prefix:MS
First Name:KELLY
Middle Name:
Last Name:ABSHER
Suffix:
Gender:F
Credentials:LHAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7894 GALL BLVD
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33541-4302
Mailing Address - Country:US
Mailing Address - Phone:407-331-8883
Mailing Address - Fax:
Practice Address - Street 1:7894 GALL BLVD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541-4302
Practice Address - Country:US
Practice Address - Phone:407-331-8883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS 5174237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist