Kelliher, Laurel H

Kelliher, Laurel H is an individual health care provider with primary practice located at 11 Burnham Ave , Rutland VT 05701-3205. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelliher, Laurel H can be contacted via phone (866) 476-1321.

Contact Information

Primary practice address
11 Burnham Ave Rutland VT 05701-3205
Fax: (802) 660-9437
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1010021166 Vermont

Profile Details

NPI number 1528191608
LBN Legal business name Kelliher, Laurel H
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jan 29th, 2020 - about 4 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 1528191608 NPPES
Vermont MEDICAID ONP1729

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