Healthcare Provider Details

I. General information

NPI: 1497927685
Provider Name (Legal Business Name): EVELYN KELLY AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2008
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 FAUNCE CORNER RD
NORTH DARTMOUTH MA
02747-6244
US

IV. Provider business mailing address

200 MILL RD
FAIRHAVEN MA
02719-5252
US

V. Phone/Fax

Practice location:
  • Phone: 508-995-0700
  • Fax: 508-973-1355
Mailing address:
  • Phone: 508-973-2000
  • Fax: 508-973-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number863
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: