Active NPIIndividual provider

Mr. Patrick C Kearney, PA

Physician Assistant in Williston, Vermont

NPI Number1801868005
Practice location
28 Park Ave, Williston, VT 05495-9701
Fax
802-872-2679
Last updated
November 25, 2014

Patrick Cornelius Kearney is a Physician Assistant based in Williston, VT. Patrick Cornelius Kearney practices in Williston, VT and has the professional credentials of PA. The NPI Number for Patrick Cornelius Kearney is 1801868005 and holds a License No. 055-0030829 (VT). The current practice location address for Patrick Cornelius Kearney is 28 Park Ave, Williston, VT 05495-9701 and can be reached out via phone at 802-878-1008 and via fax at 802-872-2679.

Provider Profile Details

NPI Number
1801868005
Provider Name
Patrick Cornelius Kearney
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
28 Park Ave, Williston, VT 05495-9701
Phone Number
802-878-1008
Fax Number
802-872-2679
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Padraig Cornelius Kearney, PA-C (Former Name)
Provider Enumeration Date
February 2, 2006
Last Update Date
November 25, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
28 Park Ave
Williston, VT 05495-9701
State
Vermont
Zip
05495-9701
Phone Number
802-878-1008
Fax Number
802-872-2679
Williston, VT 05495Get directions →

Provider Business Mailing Address Details

Address
28 Park Ave
Primary Care
Williston, VT 05495-9701
City
Williston
State
VT
Zip
05495-9701
Phone Number
802-878-1008
Fax Number
802-872-2679

License Information

License Number (1)
055-0030829
License State (1)
VT
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
055-0030968
License State (2)
VT
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mr. Patrick C Kearney, PA?

The NPI number of Mr. Patrick C Kearney, PA is 1801868005. It was assigned on February 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Patrick C Kearney, PA?

Mr. Patrick C Kearney, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VT under license number 055-0030829.

Where does Mr. Patrick C Kearney, PA practice?

The practice location is 28 Park Ave, Williston, VT 05495-9701. The office can be reached at 802-878-1008 (phone) or 802-872-2679 (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 1801868005 directly on the NPPES registry website.

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