Individual
KATHLEEN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 BELMONT AVE STE 103, BRATTLEBORO, VT 05301-6761
(802) 258-3905
Mailing address
600 BLAIR PARK RD STE 285, WILLISTON, VT 05495-7586
(802) 288-1140
(802) 288-1144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042.0011317
VT
207Q00000X
Family Medicine Physician
209588
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301128
—
MA
Enumeration date
01/23/2006
Last updated
06/30/2023
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