IndividualActive
Emily Kavouksorian, P.A. - C
NPI 1174549745 · Surgical Physician Assistant · Colchester, VT
Provider details
- NPI number
- 1174549745
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A. - C
- Sex
- Female
- Sole proprietor
- No
- License
- 055-0030783 (VT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
354 Mountain View Dr
Suite 103
Colchester, VT 05446-5968
Phone: (802) 847-3340
Fax: (802) 847-2539
Approximate (ZIP-level) locationGet directions
Mailing address
24 Bayberry Ln
South Burlington, VT 05403-8205
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.