Individual
CASEY MASTERSON KOLB NAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 FISHER RD, CVMC HOSPITALIST DEPT, BERLIN, VT 05602-9516
(802) 225-1743
(802) 225-1745
Mailing address
PO BOX 547, ATT: CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 225-1743
(802) 225-1745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0420013068
VT
208M00000X
Hospitalist Physician
0420013068
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024700
—
VT
Enumeration date
04/21/2011
Last updated
05/05/2015
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