Kristan M Outwater, MD
Pediatrics in Brattleboro, Vermont
1306952890- Practice location
- 21 Belmont Ave, Brattleboro, VT 05301-7110
- Phone
- 802-258-3905
- Fax
- 802-258-4903
- Last updated
- June 30, 2023
Kristan M Outwater is a Pediatrics based in Brattleboro, 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 (MI). The current practice location address for Kristan M Outwater is 21 Belmont Ave, Brattleboro, VT 05301-7110 and can be reached out via phone at 802-258-3905 and via fax at 802-258-4903.
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 05301-7110
- Phone Number
- 802-258-3905
- Fax Number
- 802-258-4903
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 21, 2006
- Last Update Date
- June 30, 2023
- Certification Date
- June 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Belmont Ave
Brattleboro, VT 05301-7110 - City
- Brattleboro
- State
- Vermont
- Zip
- 05301-7110
- Phone Number
- 802-258-3905
- Fax Number
- 802-258-4903
Provider Business Mailing Address Details
- Address
- 600 Blair Park RD Ste 285
Williston, VT 05495-7586 - City
- Williston
- State
- VT
- Zip
- 05495-7586
- Phone Number
- 802-288-1140
- Fax Number
- 802-288-1144
License Information
- License Number (1)
- 4301064412
- License State (1)
- MI
- Taxonomy (1)
- Pediatrics, Pediatric Critical Care Medicine · 2080P0203X
- License Number (2)
- 042-0012623
- License State (2)
- VT
- Taxonomy (2)
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Brattleboro, VT
View all Pediatrics providers in Brattleboro →Frequently Asked Questions
What is the NPI number of Kristan M Outwater, MD?
The NPI number of Kristan M Outwater, MD is 1306952890. It was assigned on August 21, 2006 and is currently active in the NPPES registry.
What is the specialty of Kristan M Outwater, MD?
Kristan M Outwater, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MI under license number 4301064412.
Where does Kristan M Outwater, MD practice?
The practice location is 21 Belmont Ave, Brattleboro, VT 05301-7110. The office can be reached at 802-258-3905 (phone) or 802-258-4903 (fax).
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 1306952890 directly on the NPPES registry website.