Gordon R Kelly
Ophthalmologist
254 Stratton Rd
Rutland
, Vermont 05701
Gordon R Kelly
Ophthalmologist
254 Stratton Rd
Rutland
, Vermont 05701
(802) 747-0602
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Gordon R Kelly
- 254 Stratton Rd Gordon R Kelly Md
- Rutland, VT
- Zip : 05701
- Fax : (802) 747-0602
- Phone : (802) 775-0038
Second Address
- Gordon R Kelly
- 254 Stratton Rd
- Rutland, VT
- Zip : 05701
- Fax : (802) 747-0602
- Phone : (802) 775-0038
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 0420004097 | VT |
National Provider Identifier
| NPI | 1023082336 |
|---|---|
| Provider Name | Gordon R Kelly |
| First Address | Rutland, VT 05701 |
| Second Address | Rutland, VT 05701 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0004346 | (05) | VT |
| D03204 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.