Individual
DR. KELLY VANVALKENBURGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
194 NORTH ST, BENNINGTON, VT 05201-1874
(802) 442-2240
Mailing address
194 NORTH ST, BENNINGTON, VT 05201-1874
(802) 442-2240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0087697
VT
183500000X
Pharmacist
0572721
NY
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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