Pekala, Kristin H

Pekala, Kristin H is an individual health care provider with primary practice located at 331 Olcott Dr Ste U3, White River Junction VT 05001-9601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pekala, Kristin H can be contacted via phone (802) 295-6132.

Contact Information

Primary practice address
331 Olcott Dr Ste U3 White River Junction VT 05001-9601
Phone: (802) 295-6132
Fax: (802) 295-1358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055-0030494 Vermont

Profile Details

NPI number 1992700884
LBN Legal business name Pekala, Kristin H
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated May 20th, 2008 - about 17 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 1992700884 NPPES
Vermont MEDICAID 0VN1243

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