NPI 1174074116
Kristen Kivlen, PAC
Practice location
- Address
- 130 Fisher Rd, Berlin, VT 05602-9516
- Phone
- (802) 371-4100
- Fax
- (301) 797-4234
Registered specialties (4)
Physician Assistant
Primary
Physician Assistant
Physician Assistant
Surgical Physician Assistant
Registry record
- NPI
- 1174074116
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Oct 2016
- Record last updated
- 11 Nov 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.