Individual
ALI J KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 STRATTON RD, RUTLAND, VT 05701-4621
(802) 773-3386
Mailing address
2645 HEALDVILLE RD, BELMONT, VT 05730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101.0132752
VT
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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