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Kathy Provencher
NPI 1316098619 · on the registry since 2007 · sole proprietor
Practice
- Address
- 137s Main St
Waterbury, VT 05676 - Phone
- (802) 244-1140
- Fax
- (802) 244-6851
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- VT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-09-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont