Provider Demographics
NPI:1811412190
Name:WORKMAN, KELLY MARIE (AUD)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:MARIE
Last Name:WORKMAN
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 1:2550 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-4432
Mailing Address - Country:US
Mailing Address - Phone:814-833-9533
Mailing Address - Fax:814-833-1621
Practice Address - Street 1:2550 W 8TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-4432
Practice Address - Country:US
Practice Address - Phone:814-833-9533
Practice Address - Fax:814-833-1621
Is Sole Proprietor?:No
Enumeration Date:2017-08-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter