person
Kerry N Fantelli, PA
Family Medicine Physician in Burlington, Vermont
NPI 1649227877

Kerry N Fantelli is a Family Medicine Physician based in South Burlington, VT. Kerry N Fantelli practices in Burlington, VT and has the professional credentials of PA. The NPI Number for Kerry N Fantelli is 1649227877 and holds a License No. 0550030723 (Vermont).

The current practice location address for Kerry N Fantelli is 617 Riverside Ave, Burlington, VT and can be reached out via phone at 802-864-6309 and via fax at 802-860-4324.

Location: 617 Riverside Ave, Burlington, VT, 05403-6224
person
Provider Profile Details
NPI Number
1649227877
Provider Name
Kerry N Fantelli
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
617 Riverside Ave, Burlington, VT, 05403-6224
Phone Number
802-864-6309
Fax Number
802-860-4324
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4141802 01 VT MVP
58727 01 VT BLUE CROSS BLUE SHIELD
9000147 05 VT
58727 01 VT VERMONT MANAGED CARE
institution
Provider Business Practice Location Address Details
Address
617 Riverside Ave
City
State
Zip
05401-1601
Phone Number
802-864-6309
Fax Number
802-860-4324
person
Provider Business Mailing Address Details
Address
617 Riverside Ave
City
State
Zip
05401-1601
Phone Number
802-864-6309
Fax Number
802-860-4324
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
0550030723 (Vermont)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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