National Provider Identifier

Amanda K McKallip, AU.D

Amanda K McKallip, AU.D is listed in the NPPES registry with a primary specialty of Audiologist in Geneva, NY and a listed phone number of (315) 789-3595.

NPI 1982152252Geneva, NYAudiologist

Profile Overview

NPI
1982152252
Provider Type
Individual
Primary Specialty
Audiologist
Enumeration Date
September 15, 2016
Last Updated
July 17, 2018

Practice Location

  • 64 Elizabeth Blackwell St
  • Suite C
  • Geneva, NY 14456-3403

Phone: (315) 789-3595

Specialties

  • Audiologist (231H00000X)
Full Record
NPI
1982152252
Entity Type
Individual
Last Name
McKallip
First Name
Amanda
Middle Name
K
Name Prefix
Dr.
Credential
AU.D
Provider Other Last Name
Czech
Provider Other First Name
Amanda
Provider Other Middle Name
K
Provider Other Last Name Type Code
1
Mailing Street Address
64 Elizabeth Blackwell St
Mailing Address Line 2
Suite C
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-3403
Mailing Country
US
Mailing Phone
(315) 789-3595
Mailing Fax
(315) 789-9051
Practice Street Address
64 Elizabeth Blackwell St
Practice Address Line 2
Suite C
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-3403
Practice Country
US
Practice Phone
(315) 789-3595
Practice Fax
(315) 789-9051
Enumeration Date
September 15, 2016
Last Updated
July 17, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Audiologist (231H00000X)