Individual
KAREN JEAN HIBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-1170
Mailing address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-1170
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
55-0030351
VT
363A00000X
Physician Assistant
Primary
55-0030351
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30333997
—
NH
05
—
9000293
—
VT
Enumeration date
08/03/2006
Last updated
10/04/2013
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