Malaney, Kellie Michele
Malaney, Kellie Michele is an individual health care provider with primary practice located at 1775 Williston Rd Ste 220 , South Burlington VT 05403-6491. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Malaney, Kellie Michele can be contacted via phone (802) 861-0200.Contact Information
Primary practice address
1775 Williston Rd Ste 220
South Burlington VT 05403-6491
Phone: (802) 861-0200
Fax: (802) 861-0210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 055.0031364 | Vermont |
Profile Details
| NPI number | 1023170792 |
|---|---|
| LBN Legal business name | Malaney, Kellie Michele |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Apr 22nd, 2020 - about 5 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 | 1023170792 | NPPES |
| Vermont | MEDICAID | 9001155 |
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