NPI 1770014664 · live from the CMS NPI Registry
Kayla Dare Corbett
Family Medicine in Burlington, VT. National Provider Identifier 1770014664, active.
NPI record
| NPI | 1770014664 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 111 Colchester Avenue, Uvmmc, Burlington, VT 05401 |
| Practice phone | 802-847-2345 |
| Mailing address | 89 Trescott Rd, Etna, NH 03750 |
| Enumerated | March 23, 2017 |
| Last updated | January 6, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Family Medicine primary | 207Q00000X | 042-0015038 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.