IndividualActive
Kelli Moylan, PA-C
NPI 1144778192 · Medical Physician Assistant · St Johnsbury, VT
Provider details
- NPI number
- 1144778192
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10094033-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
457 Railroad St Ste 2
St Johnsbury, VT 05819-1643
Phone: (802) 633-6351
Fax: (802) 748-0977
Approximate (ZIP-level) locationGet directions
Mailing address
165 Sherman Dr
St Johnsbury, VT 05819-9811
Additional practice locations (1)
- 137 Main StNewport, VT 05855-4415Phone: (802) 995-2412Fax: (802) 334-7991
Registry dates
- Enumerated
- 2016-09-20
- Last updated
- 2023-10-11
- Certified
- 2023-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.