Individual
KERRY CHRISTINE MCGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
438 MAIN ST, SUITE 204, MIDDLETOWN, CT 06457-3396
(888) 964-6681
(888) 662-0859
Mailing address
888 WORCESTER ST, SUITE 130, WELLESLEY, MA 02482-3744
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000325
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004214178
—
CT
01
—
640004193
MEDICARE RAILROAD
CT
01
—
730000325CT05
BLUE CROSS BLUE SHIELD
CT
Enumeration date
08/05/2006
Last updated
08/10/2016
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