NPI 1104712843 · live from the CMS NPI Registry
Kelly Ann Cole
Nurse Practitioner, Family in Bennington, VT. National Provider Identifier 1104712843, active.
NPI record
| NPI | 1104712843 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 120 Hospital Dr, Bennington, VT 05201 |
| Practice phone | 802-440-4077 |
| Mailing address | 3619 County Route 30, Salem, NY 12865 |
| Enumerated | June 17, 2025 |
| Last updated | June 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | F356998-01 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.