Kathryn Anne Macksoud

Physician Assistant · Springfield, VT

Individual Active NPI

NPI number 1194486357

Practice location

100 River St
Springfield, VT 05156-2930
Phone
(802) 886-8900

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NPI record

NPI
1194486357
Entity type
Individual (Type 1)
Enumeration date
January 9, 2022
Last updated
June 5, 2022
Certified
June 5, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 055.0031598 VT
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

24 Airport Rd
West Lebanon, NH 03784

Other practice locations (1)

  • 24 Airport Rd, West Lebanon, NH 03784 · (603) 298-5549

About Kathryn Macksoud

Kathryn Anne Macksoud is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 100 River St, Springfield, VT 05156-2930. The NPI number 1194486357 was assigned on January 9, 2022 and the record was last updated on June 5, 2022.

Kathryn Macksoud lists a license in the registry: #055.0031598 (VT) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kathryn Anne Macksoud?

The NPI number is 1194486357.

What is the phone number of Kathryn Macksoud?

The phone number listed for the practice location is (802) 886-8900.

Where is Kathryn Macksoud located?

100 River St, Springfield, VT 05156-2930.

What is the taxonomy code for Kathryn Macksoud?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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