Individual
KELLI CORINNE LUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, SMITH 565, BURLINGTON, VT 05401-1473
(802) 847-3544
Mailing address
111 COLCHESTER AVE, SMITH 565, BURLINGTON, VT 05401-1473
(802) 847-3544
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
11289835-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2009
Last updated
11/18/2021
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