Margery Sue Kearns, D.C.
Individual provider Active NPI Chiropractor · Putney, VT
NPI 1144596107 · NPPES record last updated Sep 23, 2014
Key facts
- NPI
- 1144596107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 006.0098748 (VT)
- Practice address
- 133 Main St RM 5
Putney, VT 05346-9226 - Phone
- (802) 536-1090
- NPI assigned
- Mar 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006.0098748 | VT | MD | Chiropractor |
| 719 | WY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic and Sports Injury Center of Jackson Hole PC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 719 | WY | |
| Chiropractor | 111N00000X | 006.0098748 | VT | Yes |
Addresses
Primary practice location
133 Main St RM 5
Putney, VT 05346-9226
Mailing address
PO Box 437
Putney, VT 05346-0437
Phone (503) 939-2616
Other providers in Putney, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.