MEDICARE: KELLEY L ROHRER 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
1	231H00000X	Audiologist	145.0114343	VT

General Provider Information

NPI Number	:	1467886044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLEY L ROHRER AU.D.

Provider Business Mailing Address
First Line	:	5420 MAIN ST
Second Line	:
City	:	MANCHESTER CENTER
State	:	VT
Zip	:	05255-9481
Country	:	US
Telephone Number	:	802-336-8020
Fax Number	:

Provider Business Practice Location Address
First Line	:	5420 MAIN ST
Second Line	:
City	:	MANCHESTER CENTER
State	:	VT
Zip	:	05255-9481
Country	:	US
Telephone Number	:	802-366-8020
Fax Number	:

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

Provider Enumeration Date	:	08/30/2013
Last Update Date	:	01/16/2024

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