MEDICARE: KIMBERLY GALLAUGHER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1467395046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIMBERLY GALLAUGHER LLC

Provider Business Mailing Address
First Line	:	8 WELDON ST
Second Line	:
City	:	DORCHESTER
State	:	MA
Zip	:	02121-1329
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 WELDON ST
Second Line	:
City	:	DORCHESTER
State	:	MA
Zip	:	02121-1329
Country	:	US
Telephone Number	:	508-338-6328
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIMBERLY GALLAUGHER
Credential	:
Telephone Number	:	508-338-6328

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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Directions to “KIMBERLY GALLAUGHER LLC ” Practice Location

Language	Start Address	Practice Location

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