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NPI Code Detail

MEDICARE: DR. BROOKE KIESLING AUD

MEDICARE: DR. BROOKE KIESLING 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
1231H00000XAudiologist81799TX

General Provider Information

NPI Number : 1871488213
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BROOKE KIESLING AUD
Provider Business Mailing Address
First Line : 10733 LIPAN TRL
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-6924
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5751 EDWARDS RANCH RD STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4152
Country : US
Telephone Number : 817-678-5242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2025
Last Update Date : 06/09/2025

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Directions to “ DR. BROOKE KIESLING AUD” Practice Location

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