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NPI Code Detail

MEDICARE: DR. KELLY ORTIZ AU.D.

MEDICARE: DR. KELLY ORTIZ AU.D.
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
1231H00000XAudiologist

General Provider Information

NPI Number : 1376498824
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KELLY ORTIZ AU.D.
Provider Business Mailing Address
First Line : 5227 W ADAMS AVE APT 106
Second Line :
City : TEMPLE
State : TX
Zip : 76502-4852
Country : US
Telephone Number : 330-999-0677
Fax Number :
Provider Business Practice Location Address
First Line : 1901 VETERANS MEMORIAL DR
Second Line :
City : TEMPLE
State : TX
Zip : 76504-7445
Country : US
Telephone Number : 800-423-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ DR. KELLY ORTIZ AU.D.” Practice Location

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