Individual
MRS. MICHELLE KATHLEEN KEARNEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE NEUROSURGERY, BURLINGTON, VT 05401
(802) 847-4590
(802) 847-0654
Mailing address
PO BOX 1063, FLETCHER ALLEN HEALTH CARE, BURLINGTON, VT 05402-1063
(802) 847-4590
(802) 847-0654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000237
—
VT
Enumeration date
02/07/2006
Last updated
07/08/2007
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