Individual
KATHLEEN CAMPBELL PITTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
66 DICKERSON RD, UPPER VALLEY SERVICES, MORETOWN, VT 05660-9103
(802) 496-7830
Mailing address
153 OLD WEST SHORE RD, NORTH HERO, VT 05474-9616
(802) 388-4822
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042-0008188
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN0462
—
VT
Enumeration date
03/21/2007
Last updated
07/08/2007
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