DR. M.D. Kelle Rae Shutter, NPI 1235463092
Pediatrics Physician in Brattleboro, VT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1235463092
NPI Entity Type Individual
Provider Name DR. M.D. Kelle Rae Shutter
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 21 Belmont Ave, Brattleboro, VT, US
Provider Mailing Address 21 Belmont Ave, Brattleboro, VT, US, 053017110
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

208000000X

Taxonomy Name Pediatrics Physician
Classification

Pediatrics

Group

Allopathic & Osteopathic Physicians

License No. 042.0015262
License State VT
Description A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Other Name

DR. M.D. Kelle Rae Herning
Former Name

Business Address

DR. M.D. Kelle Rae Shutter
21 Belmont Ave

Brattleboro, VT, US

Phone: 802-258-3905
Fax: 802-258-4903

Mailing Address

DR. M.D. Kelle Rae Shutter
21 Belmont Ave
Brattleboro, VT, US
ZIP 053017110
Phone: 802-258-3905
Fax: 802-258-4903

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

208000000X

Allopathic & Osteopathic Physicians

Pediatrics

MD60500534 WA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
3127306 NH MEDICAID 05
6706620 VT MEDICAID 05

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] DIRECT CSV No 21 Belmont Ave, Brattleboro, VT, US

Other Providers in VT, US

NPI Name Taxonomy Address

1053952374

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1851722417

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Organization

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1205122058

MS, RD, CD Abigail M Wadsworth

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1730804295

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Organization

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1154046696

Leslie M Conroy Md Pc

Organization

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1083905590

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LCMHC Clarrissa A Stevens

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Jose Rodriguez

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Lincoln, VT

1528783339

DDS Inder Singh

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474 Holiday Dr Ste 1

Rutland, VT

1174599666

DR. D.C. Paul Richard Berard

Individual

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1445 Burton Hill Road

Barton, VT

1417179029

DR. MD Katherine A Lane

Individual

Ophthalmology Physician

55 Timber Ln

South Burlington, VT

1871837401

LICSW Remy Jean Bennett

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130 Birge St

Brattleboro, VT

1417158288

PHD Robyn Kervick

Individual

Clinical Neurophysiology Physician

790 College Pkwy

Colchester, VT

1235264201

LMHC MA Michele L Webster

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Mental Health Counselor

440 South St

Brattleboro, VT

1649994567

Brookhaven Treatment And Learning Center

Organization

Emotionally Disturbed Childrens' Residential Treatment Facility

331 Vt Rte 110

Chelsea, VT

1851015754

Kayla Fac

Individual

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146 South St

Castleton, VT

1841914884

DR. DDS Lisha Tang

Individual

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44 Main St Ste 200

Richford, VT

1023732039

Moon River Counseling

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

15 Homestead Pl

Brattleboro, VT

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