Healthcare Provider Details

I. General information

NPI: 1437381985
Provider Name (Legal Business Name): KARI LYNN MOBLEY AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2009
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WILLMAR AVE SW
WILLMAR MN
56201-3556
US

IV. Provider business mailing address

101 WILLMAR AVENUE SW AFFILIATED COMMUNITY MEDICAL CENTERS
WILLMAR MN
56201-3591
US

V. Phone/Fax

Practice location:
  • Phone: 320-231-5000
  • Fax: 320-214-6149
Mailing address:
  • Phone: 320-231-5079
  • Fax: 320-231-5067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number0873
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number6325
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: