Burgess, Kathleen
Burgess, Kathleen is an individual health care provider with primary practice located at 19 Belmont Ave Ste 103 , Brattleboro VT 05301-6761. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Burgess, Kathleen can be contacted via phone (802) 258-3905.Contact Information
Primary practice address
19 Belmont Ave Ste 103
Brattleboro VT 05301-6761
Phone: (802) 258-3905
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 209588 | Massachusetts |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 042.0011317 | Vermont |
Profile Details
| NPI number | 1265402382 |
|---|---|
| LBN Legal business name | Burgess, Kathleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jun 30th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265402382 | NPPES |
| Massachusetts | MEDICAID | 1301128 |
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