Healthcare Provider Details

I. General information

NPI: 1750352720
Provider Name (Legal Business Name): MELANIE ANN BRAMMER KILGORE M.S. CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34520 BOB WILSON DR SUITE 100
SAN DIEGO CA
92134-2100
US

IV. Provider business mailing address

34520 BOB WILSON DR SUITE 100
SAN DIEGO CA
92134-2100
US

V. Phone/Fax

Practice location:
  • Phone: 619-532-9020
  • Fax: 619-532-6908
Mailing address:
  • Phone: 619-532-9020
  • Fax: 619-532-6908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1019
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number2341
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: