Active NPIIndividual provider

Kristen K Ely, PA

Physician Assistant, Medical in Morrisville, Vermont

NPI Number1043781552
Practice location
555 Washington Hwy, Morrisville, VT 05661
Fax
—
Last updated
December 7, 2021

Kristen Katharina Ely is a Physician Assistant, Medical based in Morrisville, VT. Kristen Katharina Ely practices in Morrisville, VT and has the professional credentials of PA. The NPI Number for Kristen Katharina Ely is 1043781552 and holds a License No. 055.0031410 (VT). The current practice location address for Kristen Katharina Ely is 555 Washington Hwy, Morrisville, VT 05661 and can be reached out via phone at 802-760-6291.

Provider Profile Details

NPI Number
1043781552
Provider Name
Kristen Katharina Ely
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
555 Washington Hwy, Morrisville, VT 05661
Phone Number
802-760-6291
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Other Names
Kristen Katharina Glick (Former Name)
Provider Enumeration Date
December 10, 2018
Last Update Date
December 7, 2021
Certification Date
December 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
555 Washington Hwy
Morrisville, VT 05661
State
Vermont
Zip
05661
Phone Number
802-760-6291
Morrisville, VT 05661Get directions →

Provider Business Mailing Address Details

Address
555 Washington Hwy
Morrisville, VT 05661-8972
City
Morrisville
State
VT
Zip
05661-8972

License Information

License Number (1)
055.0031410
License State (1)
VT
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
055.0031410
License State (2)
VT
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistant, Medical providers near Morrisville, VT

View all Physician Assistant, Medical providers in Morrisville →

Frequently Asked Questions

What is the NPI number of Kristen K Ely, PA?

The NPI number of Kristen K Ely, PA is 1043781552. It was assigned on December 10, 2018 and is currently active in the NPPES registry.

What is the specialty of Kristen K Ely, PA?

Kristen K Ely, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in VT under license number 055.0031410.

Where does Kristen K Ely, PA practice?

The practice location is 555 Washington Hwy, Morrisville, VT 05661. The office can be reached at 802-760-6291 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043781552 directly on the NPPES registry website.

Browse related providers