Individual
MS. EMILY ROSE KAVOUKSORIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A. - C
Contact information
Practice address
354 MOUNTAIN VIEW DR, SUITE 103, COLCHESTER, VT 05446-5968
(802) 847-3340
(802) 847-2539
Mailing address
24 BAYBERRY LN, SOUTH BURLINGTON, VT 05403-8205
(802) 236-4706
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
055-0030783
VT
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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