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Katie Lynn Wysocki, PA
Medical Physician Assistant in Bennington, Vermont
NPI 1740592617

Katie Lynn Wysocki is a Medical Physician Assistant based in Bennington, VT and is specialized in Medical. Katie Lynn Wysocki practices in Bennington, VT and has the professional credentials of PA. The NPI Number for Katie Lynn Wysocki is 1740592617 and holds a License No. PA100218 (Vermont).

The current practice location address for Katie Lynn Wysocki is 140 Hospital Dr Ste 108, Bennington, VT and can be reached out via phone at 802-447-5519.

Location: 140 Hospital Dr Ste 108, Bennington, VT, 05201-5009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740592617
Provider Name
Katie Lynn Wysocki
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
140 Hospital Dr Ste 108, Bennington, VT, 05201-5009
Phone Number
802-447-5519
Fax Number
Provider Enumeration Date
07/08/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03349671 05 NY
institution
Provider Business Practice Location Address Details
Address
140 Hospital Dr Ste 108
City
Bennington
State
Vermont
Zip
05201-5010
Phone Number
802-447-5519
Fax Number
person
Provider Business Mailing Address Details
Address
140 Hospital Dr Ste 108
City
Bennington
State
Vermont
Zip
05201-5010
Phone Number
802-447-5519
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA100218 (Massachusetts)
Definition
Definition to come...
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