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Individual
DR. KELLE RAE SHUTTER
Active
Individual
DR. KELLE RAE SHUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042.0015262
VT
208000000X
Pediatrics Physician
MD60500534
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3127306
—
NH
05
—
6706620
—
VT
Enumeration date
09/28/2009
Last updated
06/30/2023
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