KELLY BRUSH DAVISSON

BURLINGTON, VT
NPI1730518549
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VT  1010122886)
Enumeration Date2013-11-02
Last Update Date2019-03-01
Business Address
KELLY BRUSH DAVISSON
128 LAKESIDE AVE STE 115
BURLINGTON, VT 05401
Phone number: 802-860-1928
Mailing Address
KELLY BRUSH DAVISSON
128 LAKESIDE AVE STE 115
BURLINGTON, VT 05401-4936
Phone number: 802-860-1928