Individual
KATHLEEN BRUNVAND KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2 COLCHESTER AVE, BURLINGTON, VT 05405-1764
(802) 656-2661
(802) 656-3485
Mailing address
2 COLCHESTER AVE, BURLINGTON, VT 05405-1764
(802) 656-2661
(802) 656-3485
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0480000828
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009511
—
VT
01
—
59241
BCBS
VT
Enumeration date
05/13/2006
Last updated
02/28/2017
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