Individual
KELLY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1030 CURTIS HOLLOW, WOODSTOCK, VT 05091
(802) 299-7728
Mailing address
PO BOX 94, BRIDGEWATER, VT 05034-0094
(802) 299-7728
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0135885
VT
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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