Wagner, Kelly

Wagner, Kelly is an individual health care provider with primary practice located at 185 Tilley Dr Suite #51, South Burlington VT 05403-4484. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Wagner, Kelly can be contacted via phone (802) 860-3366.

Contact Information

Primary practice address
185 Tilley Dr Suite #51 South Burlington VT 05403-4484
Fax: (802) 497-0461
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 099.0116431 Vermont

Profile Details

NPI number 1346613205
LBN Legal business name Wagner, Kelly
Credentials N.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2015
Last updated Nov 1st, 2015 - about 9 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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