Whalio Doctors

NPI 1306952890

Kristan M Outwater, MD

Practitioner Pediatrics Physician Brattleboro, VT

Practice location

Address
21 Belmont Ave, Brattleboro, VT 05301-7110
Phone
(802) 258-3905
Fax
(802) 258-4903
Mailing address
600 Blair Park Rd STE 285, Williston, VT 05495-7586

Registered specialties (2)

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 042-0012623 (VT)
Pediatric Critical Care Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2080P0203X Licence 4301064412 (MI)

Registry record

NPI
1306952890
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Aug 2006
Record last updated
30 Jun 2023

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.