Healthcare Provider Details

I. General information

NPI: 1215918040
Provider Name (Legal Business Name): RONDA K KASPER-BRAITHWAITE AUD MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RHONDA KASPER AUD MA

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 01/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W 5TH AVE SUITE 205
SPOKANE WA
99204-2823
US

IV. Provider business mailing address

PO BOX 3649
SPOKANE WA
99220-3649
US

V. Phone/Fax

Practice location:
  • Phone: 509-838-2531
  • Fax: 509-755-6580
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberLD00002338
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberLD00002338
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: