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Kristan M Outwater, MD
Pediatrics Physician in Brattleboro, Vermont
NPI 1306952890

Kristan M Outwater is a Pediatrics Physician based in Williston, VT. Kristan M Outwater practices in Brattleboro, VT and has the professional credentials of MD. The NPI Number for Kristan M Outwater is 1306952890 and holds a License No. 4301064412 (Vermont).

The current practice location address for Kristan M Outwater is 21 Belmont Ave, Brattleboro, VT and can be reached out via phone at 802-258-3905 and via fax at 802-258-4903. You can also correspond with Kristan M Outwater through the mailing address at 600 BLAIR PARK RD STE 285, WILLISTON, VT - 05495-7586 (mailing address contact number: 802-288-1140).

Location: 21 Belmont Ave, Brattleboro, VT, 05495-7586
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306952890
Provider Name
Kristan M Outwater
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
21 Belmont Ave, Brattleboro, VT, 05495-7586
Phone Number
802-258-3905
Fax Number
802-258-4903
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71020000730099 01 MI BCBS OF MI
3067291 05 MI
institution
Provider Business Practice Location Address Details
Address
21 Belmont Ave
City
Brattleboro
State
Vermont
Zip
05301-7110
Phone Number
802-258-3905
Fax Number
802-258-4903
person
Provider Business Mailing Address Details
Address
600 Blair Park Rd Ste 285
City
Williston
State
Vermont
Zip
05495-7586
Phone Number
802-288-1140
Fax Number
802-288-1144
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
042-0012623 (Vermont)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
4301064412 (Michigan)
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
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