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Individual

BRIAN KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN-BC,MSN

Contact information

Practice address
300 FLYNN AVE, BURLINGTON, VT 05401-5301
(802) 488-6300
Mailing address
208 FLYNN AVE, SUITE 3J, BURLINGTON, VT 05401-5429

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101-0110965
VT

Other

Enumeration date
07/08/2016
Last updated
07/08/2016
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