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Individual

KYLE ROBERT MCQUEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055.0031668
VT
363A00000X
Physician Assistant

Other

Enumeration date
06/03/2022
Last updated
04/20/2023
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