Individual
KEVIN B GALINAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
675 PARAMOUNT DR STE 301, RAYNHAM, MA 02767-5416
(781) 344-3535
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2686
MA
363A00000X
Physician Assistant
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2686
COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE
MA
01
—
BOC211704
BOC (BOARD OF CERTIFICATION)
—
Enumeration date
07/29/2021
Last updated
11/28/2022
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