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KEITH MICHL MD FACP
NPI 1114180494
Specialist in Manchester Ctr, VT

Active since July 07, 2008CLIA 47D0951326 · Waiver
7252 MAIN STREET, MANCHESTER CTR, VT 05255(802) 362-9031(802) 362-7562 Get Directions Write a Review

NPPES record last updated: July 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith Michl Md Facp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH MICHL MD FACP (NPI 1114180494) is a healthcare organization registered as a specialist in Manchester Ctr, Vermont and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through May 5, 2027 and lists Keith W Michl, Internal Medicine, as its authorized official.

NPPES Registry Identity

NPI1114180494
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKEITH MICHL MD FACP
Location Address7252 MAIN STREETManchester Ctr, VT 05255
Mailing Address7252 Main Street, Po Box 1431Manchester Center, VT 05255 · (802) 362-9031 · Fax (802) 362-7562
Phone(802) 362-9031
Fax(802) 362-7562
Organization SubpartNo
Authorized OfficialKeith W MichlInternal Medicine · (802) 362-9031
Enumeration DateJuly 7, 2008
✔ NPI 1114180494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VT · 0420007111
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7252 MAIN STREET, Manchester Ctr, VT 05255
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Other Identifiers 1

Medicaid0006032VT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 47D0951326

Keith Michl MD · Manchester Center, VT
Active · expires May 5, 2027
CLIA Number47D0951326
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorKeith W. Michl
Laboratory Phone(802) 362-9031
Laboratory LocationKeith Michl MD7252 Main Street PO Box 1431, Manchester Center, VT 05255
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC R NISENSON
Durable Medical Equipment & Medical Supplies
7252 MAIN STREET
MANCHESTER CENTER, VT 05255
Bennington County (802) 362-9959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Michl MD Facp's NPI number?

The NPI number for Keith Michl MD Facp is 1114180494. It was assigned to this organization in the NPPES registry on July 7, 2008.

Where is Keith Michl MD Facp located?

Keith Michl MD Facp is located at 7252 Main Street, Manchester Ctr, VT 05255. The listed phone number is (802) 362-9031.

What is Keith Michl MD Facp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Keith Michl MD Facp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D0951326) is associated with this NPI, valid through May 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Keith Michl MD Facp was last updated on July 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.