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Kenneth S Mackillop, ATS
Student in an Organized Health Care Education/Training Program in Charlotte, Vermont
NPI 1063061844

Kenneth S Mackillop is a Student in an Organized Health Care Education/Training Program based in Charlotte, VT. Kenneth S Mackillop practices in Charlotte, VT and has the professional credentials of ATS. The NPI Number for Kenneth S Mackillop is 1063061844 and holds a License No. (Vermont).

The current practice location address for Kenneth S Mackillop is 3421 Lake Rd, Charlotte, VT and can be reached out via phone at 802-999-6225.

Location: 3421 Lake Rd, Charlotte, VT, 05445-8243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063061844
Provider Name
Kenneth S Mackillop
Credential
ATS
Provider Entity Type
Individual
Gender
Male
Address
3421 Lake Rd, Charlotte, VT, 05445-8243
Phone Number
802-999-6225
Fax Number
Provider Enumeration Date
09/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3421 Lake Rd
City
Charlotte
State
Vermont
Zip
05445-8243
Phone Number
802-999-6225
Fax Number
person
Provider Business Mailing Address Details
Address
3421 Lake Rd
City
Charlotte
State
Vermont
Zip
05445-8243
Phone Number
802-999-6225
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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