Individual
KELSEY RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
111 COLCHESTER AVE, WEST PAVILION, LEVEL 2, BURLINGTON, VT 05401-1473
(802) 847-2415
(802) 847-5324
Mailing address
1035 DOCKSIDE DR, LUTZ, FL 33559-6703
(920) 264-2992
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
135.0000094
VT
367H00000X
Anesthesiologist Assistant
135.0000096-SEC
VT
367H00000X
Anesthesiologist Assistant
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Other
Enumeration date
12/15/2021
Last updated
11/24/2025
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