Balkcom, Kira L
Balkcom, Kira L is an individual health care provider with primary practice located at 147 Allen St , Rutland VT 05701-4555. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Balkcom, Kira L can be contacted via phone (802) 775-1901.Contact Information
Primary practice address
147 Allen St
Rutland VT 05701-4555
Phone: (802) 775-1901
Fax: (802) 775-1974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0420013328 | Vermont |
Profile Details
| NPI number | 1568720183 |
|---|---|
| LBN Legal business name | Balkcom, Kira L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2012 |
| Last updated | Jul 28th, 2022 - about 4 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 | 1568720183 | NPPES |
| Vermont | MEDICAID | 1027735 |
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