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KATHLEEN SUSAN CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
111 COLCHESTER AVE, 125BA3, BURLINGTON, VT 05401-1473
(802) 847-8675
(802) 847-2311
Mailing address
192 TILLEY DR, SOUTH BURLINGTON, VT 05403-4440
(802) 847-7063

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0030834
VT
363AM0700X
Medical Physician Assistant
010548-1
NY

Other

Enumeration date
01/17/2007
Last updated
04/13/2010
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