Healthcare Provider Details

I. General information

NPI: 1053847996
Provider Name (Legal Business Name): KELSEY JORDAN HALDEMAN AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 COVEY DR SUITE 111
FRANKLIN TN
37067-5665
US

IV. Provider business mailing address

100 COVEY DR SUITE 111
FRANKLIN TN
37067-5665
US

V. Phone/Fax

Practice location:
  • Phone: 615-591-6410
  • Fax: 615-591-6425
Mailing address:
  • Phone: 615-591-6410
  • Fax: 615-591-6425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: