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Individual

HARRIS KIVA STROKOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
130 FISHER RD, FLOOR 3, BERLIN, VT 05602-9516
(802) 371-4316
(802) 371-4579
Mailing address
PO BOX 547, ATT: CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 371-4316
(802) 371-4579

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0420011198
VT
2084P0800X
Psychiatry Physician
RT 1369
NH
2084P0804X
Child & Adolescent Psychiatry Physician
042.0011198
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013736
VT
Enumeration date
08/31/2006
Last updated
08/12/2013
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