Ms Kelly Victoria Tyus, CCC-A | |
353 New Shackle Island Rd, Suite 202-a, Hendersonville, TN 37075-2379 | |
(615) 851-3901 | |
(615) 447-3612 |
Full Name | Ms Kelly Victoria Tyus |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 353 New Shackle Island Rd, Hendersonville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659730117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | SLPAUD00218466 (Kentucky) | Primary |
237700000X | Hearing Instrument Specialist | 577 (Tennessee) | Secondary |
Provider Name | Mobile Hearing Of Tennessee |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790153583 PECOS PAC ID: 3072818517 Enrollment ID: O20160222002455 |
Mailing Address | Practice Location Address |
---|---|
Ms Kelly Victoria Tyus, CCC-A 353 New Shackle Island Rd, Suite 202-a, Hendersonville, TN 37075-2379 Ph: (615) 851-3901 | Ms Kelly Victoria Tyus, CCC-A 353 New Shackle Island Rd, Suite 202-a, Hendersonville, TN 37075-2379 Ph: (615) 851-3901 |
Middle Tennessee Audiology, Inc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 166b E Main St, Hendersonville, TN 37075 Phone: 615-447-5660 Fax: 615-447-5661 | |
Dr. Misty Nowell Johnson, CCC-A, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 102 Lands End, Hendersonville, TN 37075 Phone: 615-944-7038 Fax: 615-452-0616 |