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NPI Code Detail

MEDICARE: MRS. KOLLENE ALICIA CORDERO AU.D.

MEDICARE:  MRS. KOLLENE ALICIA CORDERO  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
1231H00000XAudiologist2201001545VA

General Provider Information

NPI Number : 1902231376
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KOLLENE ALICIA CORDERO AU.D.
Provider Business Mailing Address
First Line : 1005 N GLEBE RD STE 500
Second Line :
City : ARLINGTON
State : VA
Zip : 22201-5702
Country : US
Telephone Number : 703-536-1666
Fax Number :
Provider Business Practice Location Address
First Line : 1005 N GLEBE RD
Second Line :
City : ARLINGTON
State : VA
Zip : 22201-5718
Country : US
Telephone Number : 703-536-1666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2013
Last Update Date : 02/05/2026

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Directions to “ MRS. KOLLENE ALICIA CORDERO AU.D.” Practice Location

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