Kelloway, Laura

Kelloway, Laura is an individual health care provider with primary practice located at Anna Marsh Lane , Brattleboro VT 05301. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelloway, Laura can be contacted via phone (802) 257-7785.

Contact Information

Primary practice address
Anna Marsh Lane Brattleboro VT 05301
Fax: (802) 258-3798
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089-0000805 Vermont

Profile Details

NPI number 1861692303
LBN Legal business name Kelloway, Laura
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2007
Last updated Jul 23rd, 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 1861692303 NPPES
Vermont MEDICAID 1009256

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