Provider Demographics
NPI:1982649059
Name:THE PUTNEY MEDICAL OFFICE
Entity Type:Organization
Organization Name:THE PUTNEY MEDICAL OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:KEMPF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-387-5581
Mailing Address - Street 1:126 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PUTNEY
Mailing Address - State:VT
Mailing Address - Zip Code:05346-8701
Mailing Address - Country:US
Mailing Address - Phone:802-387-5581
Mailing Address - Fax:802-387-6694
Practice Address - Street 1:126 MAIN ST
Practice Address - Street 2:
Practice Address - City:PUTNEY
Practice Address - State:VT
Practice Address - Zip Code:05346-8701
Practice Address - Country:US
Practice Address - Phone:802-387-5581
Practice Address - Fax:802-387-6694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty