MEDICARE: MS. KRISTEN S. CARON AUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	4808	MA

General Provider Information

NPI Number	:	1346541737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KRISTEN S. CARON AUD

Provider Business Mailing Address
First Line	:	955 MAIN ST STE 306
Second Line	:
City	:	WINCHESTER
State	:	MA
Zip	:	01890-4303
Country	:	US
Telephone Number	:	781-218-2225
Fax Number	:	781-218-2226

Provider Business Practice Location Address
First Line	:	955 MAIN ST STE 306
Second Line	:
City	:	WINCHESTER
State	:	MA
Zip	:	01890-4303
Country	:	US
Telephone Number	:	781-218-2225
Fax Number	:	781-218-2226

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2010
Last Update Date	:	07/06/2021

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