Individual
KELLY GALLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GENERAL ST, LAWRENCE, MA 01841-2997
(978) 683-4000
Mailing address
1 GENERAL ST, LAWRENCE, MA 01841-2997
(978) 683-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
130323
MA
367500000X
Certified Registered Nurse Anesthetist
RN2265564
MA
Other
Enumeration date
02/20/2019
Last updated
11/02/2020
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