Individual
KATHRYN MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-1170
Mailing address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055.0031424
VT
363AM0700X
Medical Physician Assistant
5025
AZ
363AS0400X
Surgical Physician Assistant
PA5008
MA
Other
Enumeration date
10/20/2011
Last updated
01/20/2025
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