Kairn Stetler Kelley, PHD, MS/CCC-A
Individual provider Active NPI Audiologist · Montpelier, VT
NPI 1821100470 · NPPES record last updated Aug 30, 2024
Key facts
- NPI
- 1821100470
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- Practice address
- 1 Allen Row
Montpelier, VT 05602-3753 - Phone
- (802) 338-5912
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040413000956 | VT | Practitioner - Qualified Audiologist | 5597759456 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vermont Audiology, Inc. | Audiologist | Current |
Accepting new patients |
| Central Vermont Medical Center Inc | Current |
Accepting new patients | |
| University of Vermont Medical Center Inc | Current |
Accepting new patients | |
| Central Vermont Medical Center Inc | Current |
Accepting new patients |
Locations
130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235
130 Fisher Rd
Ste 3-1
Berlin, VT 05602
Phone (802) 225-7000
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
130 Fisher Rd
Ste 1B
Berlin, VT 05602
Phone (802) 225-7017
130 Fisher Rd
Ste 31
Berlin, VT 05602
Phone (802) 225-7000
130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
81 River St
Ste 103
Montpelier, VT 05602
Phone (802) 229-5868
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | VT | Yes |
Addresses
Primary practice location
1 Allen Row
Montpelier, VT 05602-3753
Mailing address
1 Allen Row
Montpelier, VT 05602-3753
Phone (802) 223-8150
Other practice location 1
130 Fisher Rd Ste 1-B
Berlin, VT 05602-9516
Phone (802) 225-7017
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010446 | Medicaid | VT |
Other names
- Dr. Rocky Kairn Kelley
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 Aug 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.