Organization
GKH HOLDINGS
Active
Other names
Park County Audiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY MARIE HALLIGAN AUD (OWNER)
(719) 838-0328
Entity
Organization
Contact information
Practice address
620 MAIN ST, 102, FAIRPLAY, CO 80440-1295
(719) 838-0328
(719) 836-4874
Mailing address
PO BOX 1295, FAIRPLAY, CO 80440-1295
(719) 838-0328
(719) 836-4874
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD20
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07003015
—
CO
Enumeration date
04/21/2010
Last updated
07/17/2014
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