| Kelly Brown, AUD | |
|
14102 Sullyfield Cir Ste 350c, Chantilly, VA 20151-1672 | |
| (703) 291-9047 | |
| Not Available |
| Full Name | Kelly Brown |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 14102 Sullyfield Cir Ste 350c, Chantilly, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376137067 | NPI | - | NPPES |
| 2201001909 | Other | VA | VIRGINIA AUDIOLOGY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AUD004261 (Georgia) | Secondary |
| 231H00000X | Audiologist | 2201001909 (Virginia) | Primary |
| Provider Name | Family Hearing Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912396243 PECOS PAC ID: 6800108358 Enrollment ID: O20150713000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Brown, AUD 2987 District Ave Apt 524, Fairfax, VA 22031-1537 Ph: (404) 401-9250 | Kelly Brown, AUD 14102 Sullyfield Cir Ste 350c, Chantilly, VA 20151-1672 Ph: (703) 291-9047 |
Aural Rehab Services Audiologist Medicare: Not Enrolled in Medicare Practice Location: 14102 Sullyfield Cir Ste 2700, Chantilly, VA 20151 Phone: 703-291-9053 | |
Rose Buchbinder, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 14102 Sullyfield Cir Ste 2700, Chantilly, VA 20151 Phone: 703-291-9053 | |
Hilary Emden, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 14102 Sullyfield Cir Ste 350c, Chantilly, VA 20151 Phone: 703-988-6767 |