Provider Demographics
NPI:1336281724
Name:KLEE, LYNDA J (AUD)
Entity Type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:J
Last Name:KLEE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 OCOEE ST N
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-4829
Mailing Address - Country:US
Mailing Address - Phone:423-641-0956
Mailing Address - Fax:423-641-0956
Practice Address - Street 1:4220 OCOEE ST N
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-4829
Practice Address - Country:US
Practice Address - Phone:423-641-0956
Practice Address - Fax:423-641-0956
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA-172237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4047911OtherBCBS ID
TN3192422Medicare ID - Type UnspecifiedMEDICARE ID