Individual
KIMBERLY ANN HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 COLCHESTER AVE, 354MP2, BURLINGTON, VT 05401-1473
(802) 847-3496
(802) 847-0574
Mailing address
111 COLCHESTER AVE, 354MP2, BURLINGTON, VT 05401-1473
(802) 847-3496
(802) 847-0574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0031112
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055-0031112
VT LICENSE
VT
05
—
9000542
—
VT
Enumeration date
09/20/2011
Last updated
03/07/2023
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