NPI 1043781552 · live from the CMS NPI Registry
Kristen Katharina Ely, PA
Physician Assistant, Medical in Morrisville, VT. National Provider Identifier 1043781552, active.
NPI record
| NPI | 1043781552 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 555 Washington Hwy, Morrisville, VT 05661 |
| Practice phone | 802-760-6291 |
| Enumerated | December 10, 2018 |
| Last updated | December 7, 2021 |
| Sole proprietor | No |
| Other names | Kristen Glick |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 055.0031410 (VT) |
| Physician Assistant, Medical primary | 363AM0700X | 055.0031410 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.