Individual
KELSEY LANGE PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
140 HOSPITAL DR, SUITE 111, BENNINGTON, VT 05201-5009
(802) 440-4077
Mailing address
140 HOSPITAL DR, SUITE 111, BENNINGTON, VT 05201-5009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055.0031242
VT
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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