Active NPIIndividual provider

Dr. Kimberly Blake, MD

Obstetrics & Gynecology in Burlington, Vermont

NPI Number1265480222
Practice location
96 Colchester Ave, Burlington, VT 05401-1417
Fax
—
Last updated
January 2, 2020

Kimberly Blake is an Obstetrics & Gynecology based in Burlington, VT. Kimberly Blake practices in Burlington, VT and has the professional credentials of MD. The NPI Number for Kimberly Blake is 1265480222 and holds a License No. 0420008805 (VT). The current practice location address for Kimberly Blake is 96 Colchester Ave, Burlington, VT 05401-1417 and can be reached out via phone at 802-658-0505.

Provider Profile Details

NPI Number
1265480222
Provider Name
Kimberly Blake
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
96 Colchester Ave, Burlington, VT 05401-1417
Phone Number
802-658-0505
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
No
Provider Enumeration Date
May 4, 2006
Last Update Date
January 2, 2020
Certification Date
January 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
96 Colchester Ave
Burlington, VT 05401-1417
State
Vermont
Zip
05401-1417
Phone Number
802-658-0505
Burlington, VT 05401Get directions →

Provider Business Mailing Address Details

Address
96 Colchester Ave
Burlington, VT 05401-1417
City
Burlington
State
VT
Zip
05401-1417
Phone Number
802-658-0505

License Information

License Number (1)
0420008805
License State (1)
VT
Taxonomy (1)
Obstetrics & Gynecology · 207V00000X
License Number (2)
302048
License State (2)
NY
Taxonomy (2)
Obstetrics & Gynecology · 207V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kimberly Blake, MD?

The NPI number of Dr. Kimberly Blake, MD is 1265480222. It was assigned on May 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kimberly Blake, MD?

Dr. Kimberly Blake, MD is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in VT under license number 0420008805.

Where does Dr. Kimberly Blake, MD practice?

The practice location is 96 Colchester Ave, Burlington, VT 05401-1417. The office can be reached at 802-658-0505 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265480222 directly on the NPPES registry website.

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