Kearney, Patrick Cornelius

Kearney, Patrick Cornelius is an individual health care provider with primary practice located at 28 Park Ave , Williston VT 05495-9701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kearney, Patrick Cornelius can be contacted via phone (802) 878-1008.

Contact Information

Primary practice address
28 Park Ave Williston VT 05495-9701
Phone: (802) 878-1008
Fax: (802) 872-2679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055-0030829 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055-0030968 Vermont

Profile Details

NPI number 1801868005
LBN Legal business name Kearney, Patrick Cornelius
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Nov 25th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801868005 NPPES
Vermont MEDICAID 9000255
Vermont Other AP260801

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