Individual
KRISTINE J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
(802) 847-2537
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
055-0030558
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5734535
CIGNA PROVIDER NUMBER
VT
01
—
59345
BLUE CROSS PROVIDER NUMBE
VT
01
—
795803
MVP PROVIDER NUMBER
VT
Enumeration date
09/15/2006
Last updated
06/19/2014
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