KELLI JEAN MOYLAN PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1144778192- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 457 RAILROAD ST STE 2, ST JOHNSBURY, VT, 058191643
- Phone
- (802) 633-6351
- Fax
- (802) 748-0977
Specialties & Taxonomies
Physician Assistant, Medical
License: UT #10094033-1206
Physician Assistant, Medical
Primary License: VT #055.0031485