IndividualActive
Jennifer Kelly, DO
NPI 1104867779 · Endocrinology, Diabetes & Metabolism Physician · South Burlington, VT
Provider details
- NPI number
- 1104867779
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 216420 (NY)
Practice location
62 Tilley Dr Ste 202
South Burlington, VT 05403-4407
Phone: (802) 847-4576
Fax: (802) 847-4967
Mailing address
62 Tilley Dr Ste 202
South Burlington, VT 05403-4407
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.