Kimberly Ann Provost
NPI #1366093296 in South Burlington, Vermont
Provider Information
- NPI Number
- 1366093296
- Entity Type
- Individual
- Name
- Kimberly Ann Provost
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Sep 23, 2019
- Last Updated
- Sep 23, 2019
Practice Location
- Address
- 126 SADIE LN
- City
- South Burlington
- State
- Vermont
- ZIP Code
- 05403-1203
- Phone
- (802) 598-4264
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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