Individual
KIM KURAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
420 GROVE ST, BRANDON, VT 05733-9062
(802) 247-6305
(802) 247-6040
Mailing address
71 ALLEN ST, STE 403, RUTLAND, VT 05701-4570
(802) 772-4414
(802) 772-7973
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
032-000525
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011619
—
VT
01
—
NX4659
PTAN
VT
Enumeration date
07/09/2006
Last updated
07/18/2016
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