Individual
MR. PATRICK CORNELIUS KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
28 PARK AVE, WILLISTON, VT 05495-9701
(802) 878-1008
(802) 872-2679
Mailing address
28 PARK AVE, PRIMARY CARE, WILLISTON, VT 05495-9701
(802) 878-1008
(802) 872-2679
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0030829
VT
363A00000X
Physician Assistant
055-0030968
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000255
—
VT
01
—
AP260801
MEDICARE PTAN
—
Enumeration date
02/02/2006
Last updated
11/25/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us