Wilson, Kelvey Richards
Wilson, Kelvey Richards is an individual health care provider with primary practice located at 130 Fisher Rd , Berlin VT 05602-9516. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Wilson, Kelvey Richards can be contacted via phone (802) 371-4263.Contact Information
Primary practice address
130 Fisher Rd
Berlin VT 05602-9516
Phone: (802) 371-4263
Fax: (802) 371-4481
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 042.0012164 | Vermont |
Profile Details
NPI number | 1487828547 |
---|---|
LBN Legal business name | Wilson, Kelvey Richards |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 18th, 2008 |
Last updated | May 5th, 2014 - about 10 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 | 1487828547 | NPPES |
Vermont | MEDICAID | 1019211 | |
Vermont | Other | 002401601 |
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