Individual
KERRY N FANTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4324
Mailing address
74 OAKWOOD DR, SOUTH BURLINGTON, VT 05403-6224
(802) 863-7913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0550030723
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4141802
MVP
VT
01
—
58727
BLUE CROSS BLUE SHIELD
VT
05
—
9000147
—
VT
Enumeration date
05/31/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us