Shutter, Kelle Rae

Shutter, Kelle Rae is an individual health care provider with primary practice located at 21 Belmont Ave , Brattleboro VT 05301-7110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shutter, Kelle Rae can be contacted via phone (802) 258-3905.

Contact Information

Primary practice address
21 Belmont Ave Brattleboro VT 05301-7110
Phone: (802) 258-3905
Fax: (802) 258-4903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60500534 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042.0015262 Vermont

Profile Details

NPI number 1235463092
LBN Legal business name Shutter, Kelle Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2009
Last updated Jun 30th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235463092 NPPES
Vermont MEDICAID 6706620
Vermont MEDICAID 3127306

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