Individual
MRS. KERIN GALLIVAN-IGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
68 CAMP ST, HYANNIS, MA 02601-3048
(508) 775-7026
(508) 771-0499
Mailing address
1 MAGNUSSON CT, EAST SANDWICH, MA 02537-1361
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
313
MA
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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