MEDICARE: MS. KIMBERLY ANN HOWRY M.A. CCC-A

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

General Provider Information

NPI Number	:	1801885439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KIMBERLY ANN HOWRY M.A. CCC-A

Provider Business Mailing Address
First Line	:	8502 4TH AVENUE
Second Line	:	BROOKLYN AUDIOLOGY ASSOCIATES
City	:	BROOKLYN
State	:	NY
Zip	:	11209
Country	:	US
Telephone Number	:	718-745-6363
Fax Number	:

Provider Business Practice Location Address
First Line	:	8502 4TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-4608
Country	:	US
Telephone Number	:	718-745-6363
Fax Number	:

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

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	07/21/2022

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