Healthcare Provider Details

I. General information

NPI: 1225422462
Provider Name (Legal Business Name): KARA KLINGMAN LANDRY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARA KLINGMAN MD

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 COLCHESTER AVE
BURLINGTON VT
05401-1473
US

IV. Provider business mailing address

111 COLCHESTER AVE
BURLINGTON VT
05401-1473
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-2700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number042.0014184
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number330036
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number042.0014184
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: