Organization
MID VERMONT OB-GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK KEENAN M.D. (OWNER)
(802) 775-1901
Entity
Organization
Contact information
Practice address
147 ALLEN ST, RUTLAND, VT 05701-4555
(802) 775-1901
Mailing address
147 ALLEN ST, RUTLAND, VT 05701-4555
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
09/19/2007
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