Individual
KATHRYN LEOPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 WILLISTON RD STE 110, SOUTH BURLINGTON, VT 05403-6491
(802) 735-1252
Mailing address
1775 WILLISTON RD STE 110, SOUTH BURLINGTON, VT 05403-6491
(802) 735-1252
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
207916-3
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405203007
BLUE SHIELD
NY
05
—
01766343
—
NY
01
—
040426007730
FIDELIS
NY
01
—
10022036
CDPHP
NY
01
—
391213
MVP
NY
01
—
557E61
BLUE CROSS
NY
Enumeration date
06/10/2005
Last updated
07/30/2024
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