Individual
MS. KIMBERLY JEAN LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
414 ROUTE 7 S UNIT 102, MILTON, VT 05468-3807
(802) 893-1413
(802) 893-2253
Mailing address
414 ROUTE 7 S UNIT 102, PO BOX 526, MILTON, VT 05468-3807
(802) 893-1413
(802) 893-2253
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104-0000108
VT
Other
Enumeration date
10/01/2008
Last updated
07/30/2013
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