Individual
KRISTIN H PEKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
331 OLCOTT DR, STE U3, WHITE RIVER JUNCTION, VT 05001-9601
(802) 295-6132
(802) 295-1358
Mailing address
331 OLCOTT DR, STE U3, WHITE RIVER JUNCTION, VT 05001-9601
(802) 295-6132
(802) 295-1358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0030494
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1243
—
VT
Enumeration date
06/16/2005
Last updated
05/20/2008
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