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NPI Code Detail

MEDICARE: KRISTEN MARIE GRANBERRY

MEDICARE: KRISTEN MARIE GRANBERRY
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
1237600000XAudiologist-Hearing Aid Fitter1249TN
2237600000XAudiologist-Hearing Aid FitterAUD003671GA
3231H00000XAudiologist1249TN

General Provider Information

NPI Number : 1558523522
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN MARIE GRANBERRY
Provider Business Mailing Address
First Line : 601 MORRISON SPRINGS RD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37415-3401
Country : US
Telephone Number : 615-591-6410
Fax Number : 615-591-6425
Provider Business Practice Location Address
First Line : 601 MORRISON SPRINGS RD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37415-3401
Country : US
Telephone Number : 615-591-6410
Fax Number : 615-591-6425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2008
Last Update Date : 09/24/2025

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Directions to “ KRISTEN MARIE GRANBERRY ” Practice Location

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