Healthcare Provider Details

I. General information

NPI: 1376862508
Provider Name (Legal Business Name): KATHERINE W. D. DOLBEC MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 10/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 COLCHESTER AVE. UVM MEDICAL CENTER, SURGERY/EMERGENCY DEPT.
BURLINGTON VT
05401
US

IV. Provider business mailing address

111 COLCHESTER AVE. UVM MEDICAL CENTER, SURGERY/EMERGENCY DEPT.
BURLINGTON VT
05401
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-2434
  • Fax: 802-847-4802
Mailing address:
  • Phone: 802-847-2434
  • Fax: 802-847-4802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD19497
License Number StateME
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number042.0013637
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: