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Individual
MARJORIE KELSO
Active
Individual
MARJORIE KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
101001033
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00039535
BCBS
VT
05
—
0VN1944
—
VT
01
—
16V120
MVP
VT
01
—
420001555
TRAVERLERS MEDICARE
VT
01
—
4687201
VERMOND MANAGED CARE APEX
VT
01
—
8000477
LADIES FIRST
VT
Enumeration date
09/29/2006
Last updated
02/28/2013
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