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Organization

SHELBURNE PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEANNE KELLNER MD (OWNER)
(802) 985-5099
Entity
Organization

Contact information

Practice address
10 MARSETT RD, SUITE 2, SHELBURNE, VT 05482-6640
(802) 985-5099
(802) 985-2336
Mailing address
10 MARSETT RD, SUITE 2, SHELBURNE, VT 05482-6640
(802) 985-5099
(802) 985-2336

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1012925
VT
Enumeration date
06/01/2007
Last updated
08/22/2020
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