Patrick Cornelius Kearney, PA

Physician Assistant · Williston, VT

Individual Active NPI

NPI number 1801868005

Practice location

28 Park Ave
Williston, VT 05495-9701
Phone
(802) 878-1008
Fax
(802) 872-2679

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NPI record

NPI
1801868005
Entity type
Individual (Type 1)
Enumeration date
February 2, 2006
Last updated
November 25, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 055-0030829 VT
Physician Assistant 363A00000X 055-0030968 VT

Mailing address

28 Park Ave
Primary Care
Williston, VT 05495-9701
Phone
(802) 878-1008
Fax
(802) 872-2679

About Patrick Kearney

Patrick Cornelius Kearney, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 28 Park Ave, Williston, VT 05495-9701. The NPI number 1801868005 was assigned on February 2, 2006 and the record was last updated on November 25, 2014.

Patrick Kearney lists 2 licenses in the registry: #055-0030829 (VT) for Physician Assistant; #055-0030968 (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 Patrick Cornelius Kearney, PA?

The NPI number is 1801868005.

What is the phone number of Patrick Kearney?

The phone number listed for the practice location is (802) 878-1008.

Where is Patrick Kearney located?

28 Park Ave, Williston, VT 05495-9701.

What is the taxonomy code for Patrick Kearney?

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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