Individual
MS. KENNIE BASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 ANNA MARSH LN, DUMMERSTON, VT 05301-3292
(802) 258-3737
Mailing address
21 RICHMOND RD, WINCHESTER, NH 03470-2427
(603) 716-0279
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
084656-23
NH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
084656-21
NH
Other
Enumeration date
03/07/2024
Last updated
03/06/2026
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