| Doctor Name: | MR. WALTER KELLY |
| NPI Number: | 1386998219 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | H.I.S |
| License Number: | HA7495 |
| Business Practice Address: | 11665 S Fortuna Rd Suite A Yuma, AZ - 853677736 |
| Business Phone Number: | 9283426000 |
| Business Fax Number: | 9285690291 |
| Mailing Address: | 11665 S Fortuna Rd, Suite A YUMA |
| State: | AZ |
| Postal Code: | 853677736 |
| Phone Number: | 9283426000 |
| Fax Number: | 9285690291 |
| NPI Enumeration Date: | 10/30/2012 |
| NPI Last Update Date: | 06/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237700000X |
| License Number: | HA7495 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Hearing Instrument Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |