Individual
DR. KELLY L KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
273 COUNTY RD, NEW LONDON, NH 03257-5736
(603) 526-5215
(603) 526-5290
Mailing address
PO BOX 2150, 273 COUNTY ROAD, NEW LONDON, NH 03257-2150
(603) 526-5215
(603) 526-5290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042-0009599
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1745
—
VT
05
—
30205606
—
NH
01
—
P00396189
RAILROAD MEDICARE
VT
Enumeration date
07/18/2006
Last updated
03/16/2015
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