Kelly M Ewing, AUD | |
1900 University Ave, Suite 101, East Palo Alto, CA 94303-2212 | |
(650) 617-2270 | |
(650) 617-2266 |
Full Name | Kelly M Ewing |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 1900 University Ave, East Palo Alto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922264043 | NPI | - | NPPES |
AU2295 | Other | CA | AUDOLOGIST LICS. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AU2295 (California) | Primary |
Provider Name | Colorado Permanente Medical Group Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
Mailing Address | Practice Location Address |
---|---|
Kelly M Ewing, AUD 1900 University Ave, Suite 101, East Palo Alto, CA 94303-2212 Ph: (650) 617-2270 | Kelly M Ewing, AUD 1900 University Ave, Suite 101, East Palo Alto, CA 94303-2212 Ph: (650) 617-2270 |
Ms. Heidi Makeig, Audiologist Medicare: Medicare Enrolled Practice Location: 1900 University Ave, Suite # 101, East Palo Alto, CA 94303 Phone: 650-462-3137 Fax: 650-433-5448 | |
Ms. Jennifer Keller, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1900 University Ave, Suite # 101, East Palo Alto, CA 94303 Phone: 650-494-1000 Fax: 650-433-5448 | |
Let Them Hear Foundation Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1900 University Ave, Suite # 101, East Palo Alto, CA 94303 Phone: 650-462-3143 Fax: 650-433-5448 | |
Daisey Thalia-sanchez Jacob, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 1900 University Ave Ste 101, East Palo Alto, CA 94303 Phone: 650-494-1000 |