Individual
KERRY A GOULETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
184 S WINOOSKI AVE, BURLINGTON, VT 05401-4535
(802) 864-6309
Mailing address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0550030759
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030759
FLETCHER ALLEN PREFERRED
VT
01
—
4148045
MVP
—
01
—
69121
BLUE CROSS BLUE SHIELD
—
05
—
9000250
—
VT
Enumeration date
05/31/2006
Last updated
08/19/2025
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