MEDICARE: MRS. JULIE LINN KINSMAN AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	LD00004707	WA
2	237600000X	Audiologist-Hearing Aid Fitter	LD00004707	WA

General Provider Information

NPI Number	:	1295915379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULIE LINN KINSMAN AU.D.

Provider Business Mailing Address
First Line	:	1305 FOWLER ST STE 1A
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-4719
Country	:	US
Telephone Number	:	509-572-2444
Fax Number	:	509-572-2124

Provider Business Practice Location Address
First Line	:	15418 MAIN ST STE 301
Second Line	:
City	:	MILL CREEK
State	:	WA
Zip	:	98012-9030
Country	:	US
Telephone Number	:	509-876-0555
Fax Number	:	509-876-0556

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2007
Last Update Date	:	12/03/2025

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