Kenrick Edwin Wysong
Kenrick Edwin Wysong is a Student in an Organized Health Care Education/Training Program in Burlington, Vermont. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
111 Colchester AveBurlington, VT 05401-1473
Phone: (802) 847-2345
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1558064758 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 24, 2023 |
| Last updated in NPPES | March 27, 2023 |
| Certification date | March 27, 2023 |
| Mailing address | 111 Colchester Ave, Burlington, VT 05401-1473 |
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