Individual
KELLIE LAROCHELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
331 OLCOTT DR, SUITE U3, WHITE RIVER JUNCTION, VT 05001-9601
(802) 295-6132
(802) 295-1358
Mailing address
331 OLCOTT DR, SUITE U3, WHITE RIVER JUNCTION, VT 05001-9601
(802) 295-6132
(802) 295-1358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055.0031262
VT
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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