Individual
MS. KATHLEEN E MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-1170
Mailing address
931 SOUTHVIEW DR, RICHMOND, VT 05477-9066
(802) 578-2786
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1010023400
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ONP1066
—
VT
Enumeration date
08/08/2006
Last updated
07/08/2007
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