Katie L Wysocki, PA
Physician Assistant, Medical in Bennington, Vermont
1740592617- Practice location
- 140 Hospital Dr Ste 108, Bennington, VT 05201-5010
- Phone
- 802-447-5519
- Fax
- —
- Last updated
- February 20, 2024
Katie Lynn Wysocki is a Physician Assistant, Medical based in Bennington, VT. 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 (MA). The current practice location address for Katie Lynn Wysocki is 140 Hospital Dr Ste 108, Bennington, VT 05201-5010 and can be reached out via phone at 802-447-5519.
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 05201-5010
- Phone Number
- 802-447-5519
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 8, 2010
- Last Update Date
- February 20, 2024
- Certification Date
- February 20, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 140 Hospital Dr Ste 108
Bennington, VT 05201-5010 - City
- Bennington
- State
- Vermont
- Zip
- 05201-5010
- Phone Number
- 802-447-5519
Provider Business Mailing Address Details
- Address
- 140 Hospital Dr
Bennington, VT 05201-5009 - City
- Bennington
- State
- VT
- Zip
- 05201-5009
- Phone Number
- 802-447-5519
License Information
- License Number (1)
- PA100218
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 0550031179
- 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 Katie L Wysocki, PA?
The NPI number of Katie L Wysocki, PA is 1740592617. It was assigned on July 8, 2010 and is currently active in the NPPES registry.
What is the specialty of Katie L Wysocki, PA?
Katie L Wysocki, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number PA100218.
Where does Katie L Wysocki, PA practice?
The practice location is 140 Hospital Dr Ste 108, Bennington, VT 05201-5010. The office can be reached at 802-447-5519 (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 1740592617 directly on the NPPES registry website.