Individual
DR. PHILIP G KIELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 PROFESSIONAL DR, MORRISVILLE, VT 05661-9301
(802) 851-0999
Mailing address
109 PROFESSIONAL DR, MORRISVILLE, VT 05661-9301
(802) 851-0999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420008647
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1326
—
VT
01
—
28940
BCBS VERMONT
VT
Enumeration date
01/11/2006
Last updated
01/29/2020
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