Individual
KRISTEN VAN WOERT CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 HAYDENBERRY DR STE 41, MILTON, VT 05468-3848
(802) 893-1200
(802) 893-2756
Mailing address
600 BLAIR PARK RD STE 285, WILLISTON, VT 05495-7586
(802) 288-1140
(802) 288-1144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042.0012649
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021912
—
VT
Enumeration date
03/27/2010
Last updated
06/30/2023
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