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Individual

KATHERINE MARIE CORNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
246 GRANGER RD STE 1, BARRE, VT 05641-5352
(802) 371-5950
Mailing address
246 GRANGER RD STE 1, BARRE, VT 05641-5352
(802) 371-5950

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
032-0134016
VT
208000000X
Pediatrics Physician
032.1034016
VT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/23/2019
Last updated
08/16/2022
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