Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY ANN PROVOST
Active Sole ProprietorKIMBERLY ANN PROVOST is a Podiatric Surgery healthcare provider located in SOUTH BURLINGTON, Vermont. NPI 1366093296 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · SOUTH BURLINGTON, VT
Registration Details
- NPI Number
- 1366093296
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2019 (6.8932146862784 yrs)
- Last Updated
- Sep 23, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
126 SADIE LNSOUTH BURLINGTON, VT, 054031203Browse VT providers · Browse ZIP 05403
- Phone
- 8025984264
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.