Moylan, Kelli Jean

Moylan, Kelli Jean is an individual health care provider with primary practice located at 457 Railroad St Ste 2 , St Johnsbury VT 05819-1643. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Moylan, Kelli Jean can be contacted via phone (802) 633-6351.

Contact Information

Primary practice address
457 Railroad St Ste 2 St Johnsbury VT 05819-1643
Phone: (802) 633-6351
Fax: (802) 748-0977
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10094033-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 055.0031485 Vermont

Profile Details

NPI number 1144778192
LBN Legal business name Moylan, Kelli Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2016
Last updated Oct 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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