IndividualActive
Kimberly Blake, M.D.
NPI 1265480222 · Obstetrics & Gynecology Physician · Burlington, VT
Provider details
- NPI number
- 1265480222
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 0420008805 (VT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
96 Colchester Ave
Burlington, VT 05401-1417
Phone: (802) 658-0505
Approximate (ZIP-level) locationGet directions
Mailing address
96 Colchester Ave
Burlington, VT 05401-1417
Additional practice locations (3)
- 75 Beekman StPlattsburgh, NY 12901-1438Phone: (518) 561-2000
- 855 Pine StBurlington, VT 05401-4924Phone: (802) 488-6000
- 75 San Remo DrSouth Burlington, VT 05403-6385Phone: (802) 488-6000Fax: (802) 488-6919
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2020-01-02
- Certified
- 2020-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.