DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KALEIGH B DUSSOURD

MEDICARE: KALEIGH B DUSSOURD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1063360147
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEIGH B DUSSOURD
Provider Business Mailing Address
First Line : 350 CROSS ST
Second Line :
City : MALDEN
State : MA
Zip : 02148-7917
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 CROSS ST
Second Line :
City : MALDEN
State : MA
Zip : 02148-7917
Country : US
Telephone Number : 781-322-9119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

Similar Medicare Providers

1144800517 — VIRGINIA WYATT
Practice Location Address:
350 CROSS ST
MALDEN, MA
02148-7917
Practice Phone: 781-322-9119
Practice Fax:
1619697265 — PRITHA RAY
Practice Location Address:
350 CROSS ST
MALDEN, MA
02148-7917
Practice Phone: 508-431-3258
Practice Fax:
1255051801 — EMILY DANIELS
Practice Location Address:
350 CROSS ST
MALDEN, MA
02148-7917
Practice Phone: 781-317-5093
Practice Fax:
1154041705 — GABRIELLE RUSSO
Practice Location Address:
350 CROSS ST
MALDEN, MA
02148-7917
Practice Phone: 781-322-9119
Practice Fax:
1245066844 — MAYA INGRAM
Practice Location Address:
350 CROSS ST
MALDEN, MA
02148-7917
Practice Phone: 508-556-4748
Practice Fax:
1891521118 — SARA CARLE
Practice Location Address:
350 CROSS ST
MALDEN, MA
02148-7917
Practice Phone: 781-322-9119
Practice Fax:

Directions to “ KALEIGH B DUSSOURD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.