Individual
DR. KIMBERLY A HAGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
28 CENTRE DR, MILTON, VT 05468-3104
(802) 847-4322
Mailing address
28 CENTRE DR, MILTON, VT 05468-3104
(802) 847-4322
(802) 847-1570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420010036
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02176676
—
NY
05
—
1008074
—
VT
Enumeration date
07/26/2006
Last updated
04/22/2010
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