Kelli J Moylan, PA-C
Physician Assistant, Medical in St Johnsbury, Vermont
1144778192- Practice location
- 457 Railroad St Ste 2, St Johnsbury, VT 05819-1643
- Phone
- 802-633-6351
- Fax
- 802-748-0977
- Last updated
- October 11, 2023
Kelli Jean Moylan is a Physician Assistant, Medical based in St Johnsbury, VT. Kelli Jean Moylan practices in St Johnsbury, VT and has the professional credentials of PA-C. The NPI Number for Kelli Jean Moylan is 1144778192 and holds a License No. 10094033-1206 (UT). The current practice location address for Kelli Jean Moylan is 457 Railroad St Ste 2, St Johnsbury, VT 05819-1643 and can be reached out via phone at 802-633-6351 and via fax at 802-748-0977.
Provider Profile Details
- NPI Number
- 1144778192
- Provider Name
- Kelli Jean Moylan
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 457 Railroad St Ste 2, St Johnsbury, VT 05819-1643
- Phone Number
- 802-633-6351
- Fax Number
- 802-748-0977
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 20, 2016
- Last Update Date
- October 11, 2023
- Certification Date
- October 11, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 457 Railroad St Ste 2
St Johnsbury, VT 05819-1643 - City
- St Johnsbury
- State
- Vermont
- Zip
- 05819-1643
- Phone Number
- 802-633-6351
- Fax Number
- 802-748-0977
Provider Business Mailing Address Details
- Address
- 165 Sherman Dr
St Johnsbury, VT 05819-9811 - City
- St Johnsbury
- State
- VT
- Zip
- 05819-9811
- Phone Number
- 850-212-1040
- Fax Number
- 802-748-4540
License Information
- License Number (1)
- 10094033-1206
- License State (1)
- UT
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 055.0031485
- License State (2)
- VT
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kelli J Moylan, PA-C?
The NPI number of Kelli J Moylan, PA-C is 1144778192. It was assigned on September 20, 2016 and is currently active in the NPPES registry.
What is the specialty of Kelli J Moylan, PA-C?
Kelli J Moylan, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in UT under license number 10094033-1206.
Where does Kelli J Moylan, PA-C practice?
The practice location is 457 Railroad St Ste 2, St Johnsbury, VT 05819-1643. The office can be reached at 802-633-6351 (phone) or 802-748-0977 (fax).
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 1144778192 directly on the NPPES registry website.