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Organization

AIM HEALTHCARE PROVIDERS VT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY KARANIUK (CREDENTIALING DIRECT)
(480) 494-2465
Entity
Organization

Contact information

Practice address
725 COMMUNITY DR STE 302, SOUTH BURLINGTON, VT 05403-6652
(480) 494-2465
Mailing address
161 E RIVULON BLVD STE 210, GILBERT, AZ 85297-0087
(480) 494-2465
(480) 534-4087

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
06/24/2024
Last updated
03/06/2025
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