Kearney, Michelle Kathleen

Kearney, Michelle Kathleen is an individual health care provider with primary practice located at 111 Colchester Ave Fletcher Allen Health Care Neurosurgery, Burlington VT 05401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kearney, Michelle Kathleen can be contacted via phone (802) 847-4590.

Contact Information

Primary practice address
111 Colchester Ave Fletcher Allen Health Care Neurosurgery Burlington VT 05401
Phone: (802) 847-4590
Fax: (802) 847-0654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Vermont

Profile Details

NPI number 1528030038
LBN Legal business name Kearney, Michelle Kathleen
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528030038 NPPES
Vermont MEDICAID 9000237

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