Kennedy, Kathleen Brunvand

Kennedy, Kathleen Brunvand is an individual health care provider with primary practice located at 2 Colchester Ave , Burlington VT 05405-1764. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kennedy, Kathleen Brunvand can be contacted via phone (802) 656-2661.

Contact Information

Primary practice address
2 Colchester Ave Burlington VT 05405-1764
Phone: (802) 656-2661
Fax: (802) 656-3485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0480000828 Vermont

Profile Details

NPI number 1902857048
LBN Legal business name Kennedy, Kathleen Brunvand
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Feb 28th, 2017 - about 7 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 1902857048 NPPES
Vermont MEDICAID 1009511
Vermont Other 59241

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