Basic Information
| Provider Information | |||||||||
| NPI: | 1699227843 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | KITCHEL | ||||||||
| FirstName: | NATALIE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 905 ROOSEVELT HWY | ||||||||
| Address2: | SUITE 115 | ||||||||
| City: | COLCHESTER | ||||||||
| State: | VT | ||||||||
| PostalCode: | 054464475 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8028613600 | ||||||||
| FaxNumber: | 8028612353 | ||||||||
| Practice Location | |||||||||
| Address1: | 2688 ROY MTN RD STE 115 | ||||||||
| Address2: | |||||||||
| City: | EAST RYEGATE | ||||||||
| State: | VT | ||||||||
| PostalCode: | 050425803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8022496544 | ||||||||
| FaxNumber: | 8028612353 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2016 | ||||||||
| LastUpdateDate: | 09/13/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 0720122978 | VT | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.