Individual
KELLY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
875 ROOSEVELT HWY STE 120, COLCHESTER, VT 05446-4460
(802) 399-2082
Mailing address
875 ROOSEVELT HWY STE 120, COLCHESTER, VT 05446-4460
(802) 238-0323
(802) 503-0043
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
099.0116431
VT
Other
Enumeration date
11/01/2015
Last updated
11/20/2024
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