Individual
DR. KIRA L BALKCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
147 ALLEN ST, RUTLAND, VT 05701-4555
(802) 775-1901
(802) 775-1974
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0420013328
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027735
—
VT
Enumeration date
05/02/2012
Last updated
07/28/2022
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