Blake, Kimberly
Blake, Kimberly is an individual health care provider with primary practice located at 96 Colchester Ave , Burlington VT 05401-1417. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Blake, Kimberly can be contacted via phone (802) 658-0505.Contact Information
Primary practice address
96 Colchester Ave
Burlington VT 05401-1417
Phone: (802) 658-0505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0420008805 | Vermont |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 302048 | New York |
Profile Details
| NPI number | 1265480222 |
|---|---|
| LBN Legal business name | Blake, Kimberly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jan 2nd, 2020 - about 6 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 | 1265480222 | NPPES |
| Vermont | Other | 160050512 | RAIL ROAD MEDICARE |
| Vermont | MEDICAID | 0VN0812 | RAIL ROAD MEDICARE |
Popular Providers
-
George, Karen Elizabeth
111 Colchester Ave , Burlington VT 05401-1473 -
Phillippe, Mark
111 Colchester Ave Fahc, Acc Ep-4, Burlington VT 05401-1473 -
Mcgee, Elizabeth Ann
111 Colchester Ave. Fahc, Burlington VT 05401 -
Riddick, Daniel H
111 Colchester Ave Fahc, Mp4, Burlington VT 05401-1473 -
Cherouny, Peter Herbert
111 Colchester Ave Fahc, Acc Ep 4, Burlington VT 05401-1473 -
Bonney, Elizabeth Ann
111 Colchester Ave , Burlington VT 05401-1473 -
Mclean, Kelley C
111 Colchester Ave 4Th Floor, Women'S Services, C/O Amy Bourgious, Burlington VT 05401-1473 -
Hayward, Robert George
111 Colchester Ave Acc, Mp4, Burlington VT 05401-1473