Individual
KELSEY CATHCART LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3031 S 116 RD, BRISTOL, VT 05443-5125
(925) 323-2854
Mailing address
3031 S 116 RD, BRISTOL, VT 05443-5125
(925) 323-2854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0128086
VT
Other
Enumeration date
02/17/2017
Last updated
01/14/2019
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