# RIVERSIDE INTERNAL MEDICINE PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902864218
- **Authorized official:** SHEILA J KENDRICK MD (MD OWNER)
- **Authorized official phone:** (802) 674-6744

## Contact information

- **Practice address:** 14 ASCUTNEY PLACE, UNIT B2, ASCUTNEY, VT 05030
- **Practice address phone:** (802) 674-6744
- **Practice address fax:** (802) 674-6744
- **Mailing address:** PO BOX 416, ASCUTNEY, VT 05030
- **Mailing address phone:** (802) 674-6744
- **Mailing address fax:** (802) 674-6744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 12/31/2012