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Organization

QUINCY AUDIOLOGY, LLC

Active
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Organization

QUINCY AUDIOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN SEAN BALLARD AU.D. (OWNER/AUDIOLOGIST)
(217) 779-9058
Entity
Organization

Contact information

Practice address
1622 VERMONT ST, QUINCY, IL 62301-3156
(217) 779-9058
Mailing address
PO BOX 489, QUINCY, IL 62306-0489
(217) 779-9058

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.000916
IL

Other

Enumeration date
04/25/2012
Last updated
04/25/2012
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