Whalio Doctors

NPI 1174074116

Kristen Kivlen, PAC

Practitioner Physician Assistant Berlin, VT

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 Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 055.0031631 (VT)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence C06245 (MD)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence MA058666 (PA)
Surgical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence C0006245 (MD)

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.