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NPI Code Detail

MEDICARE: KARA FLAHERTY M.D.

MEDICARE: KARA FLAHERTY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician42-0010570VT
2174400000XSpecialist042.0010570VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17102201OTHERVTVERMONT MANAGED CARE
200059500OTHERVTBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4363285OTHERVTMVP

General Provider Information

NPI Number : 1225015480
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA FLAHERTY M.D.
Provider Business Mailing Address
First Line : 226 ARBOR LN
Second Line :
City : COLCHESTER
State : VT
Zip : 05446-7680
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 55 MAIN ST
Second Line : SUITE 3
City : ESSEX JUNCTION
State : VT
Zip : 05452-3191
Country : US
Telephone Number : 802-879-1802
Fax Number : 802-878-6131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 04/05/2017

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Directions to “ KARA FLAHERTY M.D.” Practice Location

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