Organization
LIFE CIRCLE FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN BURGESS M.D. (PHYSICIAN)
(802) 254-8300
Entity
Organization
Contact information
Practice address
63 BELMONT AVE, BRATTLEBORO, VT 05301-6614
(802) 254-8300
Mailing address
63 BELMONT AVE, BRATTLEBORO, VT 05301-6614
(802) 254-8300
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
042-0011317
VT
Other
Enumeration date
09/03/2007
Last updated
09/03/2007
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