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Individual

DR. SUZANNE KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2700
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0552

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0420010254
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02199388
NY
05
1008213
VT
Enumeration date
07/19/2006
Last updated
09/16/2013
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