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Individual

KATRINA L TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
25 RIDGEWOOD RD, SPRINGFIELD SPECIALTY PHYSICIANS, SPRINGFIELD, VT 05156-3050
(802) 885-2151
Mailing address
PO BOX 710, SPRINGFIELD, VT 05156-0710
(802) 886-8950
(802) 885-2030

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032-0000540
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
032-0000540
MEDICAL LICENSE
VT
05
1012938
VT
05
30224542
NH
Enumeration date
08/31/2006
Last updated
06/27/2014
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