Pamela Kentish, LIC. AC.
Individual provider Active NPI Acupuncturist · Montpelier, VT
NPI 1790907665 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790907665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 091-0000113 (VT)
- Practice address
- 28 East State St
Montpelier, VT 05602 - Phone
- (802) 229-4537
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091-0000113 | VT | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 091-0000113 | VT | Yes |
Addresses
Primary practice location
28 East State St
Montpelier, VT 05602
Mailing address
28 East State St
Montpelier, VT 05602
Phone (802) 229-4537
Other providers in Montpelier, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.