NPI 1265402382 · live from the CMS NPI Registry
Kathleen Burgess, MD
Family Medicine in Brattleboro, VT. National Provider Identifier 1265402382, active.
NPI record
| NPI | 1265402382 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 19 Belmont Ave Ste 103, Brattleboro, VT 05301 |
| Practice phone | 802-258-3905 |
| Mailing address | 600 Blair Park Rd Ste 285, Williston, VT 05495 |
| Enumerated | January 23, 2006 |
| Last updated | June 30, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 209588 (MA) |
| Family Medicine primary | 207Q00000X | 042.0011317 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.