Individual
KIM COTNOIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 635-7047
Mailing address
PO BOX 656, 1768 UPPER FRENCH HILL, JOHNSON, VT 05656-0656
(802) 635-7047
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0074241
VT
367H00000X
Anesthesiologist Assistant
E60610
CT
Other
Enumeration date
11/23/2007
Last updated
05/01/2012
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