Individual
KELLY MCGOVERN LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 COLCHESTER AVE, VERMONT CHILDREN'S HOSPITAL, BURLINGTON, VT 05401-1473
(802) 847-6081
(802) 847-5805
Mailing address
3128 JERSEY ST, PANTON, VT 05491-9331
(802) 475-2118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN10515
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
1010032226
VT
Other
Enumeration date
10/26/2005
Last updated
09/11/2025
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