Individual
GORDON R KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
254 STRATTON RD, RUTLAND, VT 05701
(802) 775-0038
(802) 747-0602
Mailing address
254 STRATTON RD, GORDON R KELLY MD, RUTLAND, VT 05701
(802) 775-0038
(802) 747-0602
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0420004097
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004346
—
VT
Enumeration date
02/14/2006
Last updated
07/08/2007
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