Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kevin Kristalovich, AUD, CCC-A

Individual provider Audiologist · NPI 1083665798

Mr. Kevin Kristalovich, AUD, CCC-A is a Qualified Audiologist in Goodyear, Arizona. Qualified in 1997, 29 years ago. Practices with Advanced Ear Nose and Throat Associates PC, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
29
Licensed in
AZ
In the registry since
2006
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.
CCC-A — Certificate of Clinical Competence in Audiology
An audiologist certified by ASHA.

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Practice location Address checks out

2700 N 140th Ave Ste 107
Goodyear, AZ 85395
Phone: (623) 535-8770
Fax: (623) 535-8771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence DA2024 (AZ)

Record details

NPI number1083665798
Entity typeIndividual (Type 1)
GenderMale
Credentials AUD , CCC-A
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESNovember 13, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Advanced Ear Nose And Throat Associates Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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