Most Relevant Information
Provider Data
| NPI Number: | 1003579749 |
| Provider Name: | KELSEY BANEY AUD |
| Entity Type: | Individual |
| Taxonomy Code: | 237600000X |
| Specialty: | Audiologist-Hearing Aid Fitter |
| License Number: | 3613 |
Most Important Dates
| Enumeration Date: | 10/19/2021 |
| Last Updated: | 02/08/2024 |
Provider Practice Location
1131 WILSHIRE BLVD STE 202
SANTA MONICA
CA
904012065
Practice Location Phone/Fax
| Phone: | 3108255721 |
| Fax: |
Provider Mailing Location
20520 VENTURA BLVD APT 109
WOODLAND HILLS
CA
913646215
Provider Mailing Phone/Fax
| Phone: | 3173196050 |
| Fax: |