Provider Demographics
NPI:1366409138
Name:MCINTOSH, KATE HELEN (MD)
Entity type:Individual
Prefix:DR
First Name:KATE
Middle Name:HELEN
Last Name:MCINTOSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:44 COLLINS DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-8528
Mailing Address - Country:US
Mailing Address - Phone:802-388-1338
Mailing Address - Fax:802-388-8244
Practice Address - Street 1:44 COLLINS DR
Practice Address - Street 2:SUITE 202
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-8528
Practice Address - Country:US
Practice Address - Phone:802-388-1338
Practice Address - Fax:802-388-8244
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VT04200108272080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1010985Medicaid
68336OtherBCVT
784818OtherMVP
G60376Medicare UPIN