Mid Vermont OB-GYN

Organization Active NPI Obstetrics & Gynecology Physician · Rutland, VT

NPI 1487782595 · NPPES record last updated Sep 19, 2007

Key facts

NPI
1487782595
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
MID VERMONT OB-GYN
Practice address
147 Allen St
Rutland, VT 05701-4555
Phone
(802) 775-1901
NPI assigned
Mar 1, 2007
Organization subpart
No

Authorized official

Name
Patrick Keenan, M.D.
Title
Owner
Phone
(802) 775-1901

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207V00000X Yes

Addresses

Primary practice location

147 Allen St
Rutland, VT 05701-4555

Mailing address

147 Allen St
Rutland, VT 05701-4555

Other providers in Rutland, VT

All providers in Rutland, VT · Obstetrics & Gynecology Physician in Vermont

Sources for this page

Verify at the official NPI Registry.