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Individual

DR. AMANDA NICOLE KALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000

Taxonomy

Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
042.0016383
VT
207VX0000X
Obstetrics Physician
049244
CT
390200000X
Student in an Organized Health Care Education/Training Program
049244
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/19/2008
Last updated
12/15/2022
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