Whalio Doctors

NPI 1033734447

Karen Michelle Custodio, DO

Practitioner Hospice and Palliative Medicine (Family Medicine) Physician Burlington, VT

Practice location

Address
111 Colchester Ave, Burlington, VT 05401-1473
Phone
(802) 847-0000
Mailing address
1 Medical Center Dr, Lebanon, NH 03756-0001

Registered specialties (5)

Hospice and Palliative Medicine (Family Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207QH0002X Licence 032.0134274 (VT)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 032.0134274 (VT)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence OT019969 (PA)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 338635 (NY)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X Licence R4289 (NH)

Registry record

NPI
1033734447
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Jun 2020
Record last updated
16 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.