Kenneth S Mackillop, ATS

NPI #1063061844 in Charlotte, Vermont

Provider Information

NPI Number: 1063061844
Entity Type: Individual
Name: Kenneth S Mackillop, ATS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: ATS
Enumeration Date: Sep 5, 2019
Last Updated: Sep 5, 2019

Practice Location

Address: 3421 LAKE RD
City: Charlotte
State: Vermont
ZIP Code: 05445-8243
Phone: (802) 999-6225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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