NPI 1194486357

Kathryn Anne Macksoud

Practitioner Physician Assistant Springfield, VT

Practice location

Address: 100 River St, Springfield, VT 05156-2930
Phone: (802) 886-8900
Mailing address: 24 Airport Rd, West Lebanon, NH 03784

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 055.0031598 (VT)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1194486357
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2022
Record last updated: 5 Jun 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.