Lane, Kerry H

Lane, Kerry H is an individual health care provider with primary practice located at 3 Mahoney Ave , Rutland VT 05701-4837. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lane, Kerry H can be contacted via phone (802) 773-3553.

Contact Information

Primary practice address
3 Mahoney Ave Rutland VT 05701-4837
Phone: (802) 773-3553
Fax: (802) 773-3845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 101-0012379 Vermont

Profile Details

NPI number 1245252725
LBN Legal business name Lane, Kerry H
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated May 16th, 2011 - about 13 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 1245252725 NPPES
Vermont MEDICAID 0NP3756
Vermont Other 369303
Vermont Other 58658

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