Davisson, Kelly Brush
Davisson, Kelly Brush is an individual health care provider with primary practice located at 128 Lakeside Ave Ste 115 , Burlington VT 05401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davisson, Kelly Brush can be contacted via phone (802) 860-1928.Contact Information
Primary practice address
128 Lakeside Ave Ste 115
Burlington VT 05401
Phone: (802) 860-1928
Fax: (802) 860-0192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1010122886 | Vermont |
Profile Details
| NPI number | 1730518549 |
|---|---|
| LBN Legal business name | Davisson, Kelly Brush |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2013 |
| Last updated | Mar 1st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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