Provider Demographics
NPI:1003248667
Name:WHEEL, KATIE (DVM)
Entity Type:Individual
Prefix:DR
First Name:KATIE
Middle Name:
Last Name:WHEEL
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 HUNTING RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:VT
Mailing Address - Zip Code:05468-4171
Mailing Address - Country:US
Mailing Address - Phone:802-299-0239
Mailing Address - Fax:
Practice Address - Street 1:8 CALKINS CT
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6001
Practice Address - Country:US
Practice Address - Phone:802-862-6471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1749174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1749OtherVERMONT VETERINARY LICENSE NUMBER