Individual provider · Type 1 NPI
Kelli Jean Moylan, PA-C
Medical Physician Assistant · St. Johnsbury, VT
NPI number
1144778192
Active
Practice location
457 Railroad St Ste 2
St. Johnsbury, VT 05819-1643
Fax (802) 748-0977
Mailing address
165 Sherman Dr
St. Johnsbury, VT 05819-9811
Other practice locations
- 137 Main St, Newport, VT 05855-4415 · (802) 995-2412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10094033-1206 (UT) |
| Medical Physician Assistant Primary | 363AM0700X | 055.0031485 (VT) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in St. Johnsbury
About NPI 1144778192
Kelli Jean Moylan, PA-C's National Provider Identifier is 1144778192, issued on Sep 20, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Johnsbury, VT. The record was last updated on Oct 11, 2023.