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Contact Information

MARY E KEGELMAN, DNP, FNP-BC
CHAMPLAIN MILL, 20 WINOOSKI FALLS WAY
SUITE 400
WINOOSKI, VT05404
 Phone: 302-530-8906
 Fax: 302-351-7388
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY E KEGELMAN · (Female)

NPI # 1326109620
Status Active
Credentials DNP, FNP-BC
Entity Individual
Enumeration date 12/12/2006
Last updated 12/06/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • DE License # LG-0001079
  • VA License # 0024166503
  • NC Medicaid 7003738
  • VA Medicaid 010165512
  • VA Other 95835 OPTIMA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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