Individual
DR. MARY E KEGELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
CHAMPLAIN MILL, 20 WINOOSKI FALLS WAY, SUITE 400, WINOOSKI, VT 05404
(302) 530-8906
(302) 351-7388
Mailing address
193 CHRISTINA LANDING DR, WILMINGTON, DE 19801-5253
(757) 593-2562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024166503
VA
363LF0000X
Family Nurse Practitioner
Primary
LG-0001079
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010165512
—
VA
05
—
7003738
—
NC
01
—
95835
OPTIMA
VA
Enumeration date
12/12/2006
Last updated
12/06/2019
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