Kegelman, Mary E
Kegelman, Mary E is an individual health care provider with primary practice located at Champlain Mill, 20 Winooski Falls Way Suite 400, Winooski VT 05404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kegelman, Mary E can be contacted via phone (302) 530-8906.Contact Information
Primary practice address
Champlain Mill, 20 Winooski Falls Way Suite 400
Winooski VT 05404
Phone: (302) 530-8906
Fax: (302) 351-7388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | LG-0001079 | Delaware |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024166503 | Virginia |
Profile Details
| NPI number | 1326109620 |
|---|---|
| LBN Legal business name | Kegelman, Mary E |
| Credentials | DNP, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Dec 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326109620 | NPPES |
| Virginia | Other | 95835 | OPTIMA |
| Virginia | MEDICAID | 010165512 | OPTIMA |
| Virginia | MEDICAID | 7003738 | OPTIMA |
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