Individual
MARY ANNE KOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
789 PINE ST, BURLINGTON, VT 05401
(802) 864-0693
(802) 860-4313
Mailing address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4313
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
101.0134139
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033787
—
VT
Enumeration date
07/06/2016
Last updated
03/19/2019
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