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
Phone: (866) 476-1321
Fax: (802) 660-9437
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528191608 | NPPES |
| Vermont | MEDICAID | ONP1729 |
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