Individual
NICOLE KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
185 TILLEY DR STE 51, SOUTH BURLINGTON, VT 05403-4484
(802) 860-3366
Mailing address
185 TILLEY DR STE 51, SOUTH BURLINGTON, VT 05403-4484
(802) 860-3366
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
175F00000X
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099.0122006
LICENSE
VT
Enumeration date
10/06/2016
Last updated
10/06/2016
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