IndividualActive
Anthony Kopecky, PA-C
NPI 1548383144 · Surgical Physician Assistant · Burlington, VT
Provider details
- NPI number
- 1548383144
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 055-0030936 (VT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
111 Colchester Ave
Mcclure 1 Radiology
Burlington, VT 05401-1473
Phone: (802) 847-3663
Approximate (ZIP-level) locationGet directions
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2013-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.