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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