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KELLIE MICHELE MALANEY PAC
NPI 1023170792
Physician Assistant in South Burlington, VT

Active since December 15, 2006
1775 WILLISTON RD STE 220, SOUTH BURLINGTON, VT 05403(802) 861-0200(802) 861-0210 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2020, Jun 13, 2018 (2 updates tracked since 2018).

About Kellie Michele Malaney Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE MICHELE MALANEY PAC (NPI 1023170792) is an individual physician assistant in South Burlington, Vermont, licensed in Vermont (055.0031364) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1023170792
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLIE MICHELE MALANEYCredential: PAC
Location Address1775 WILLISTON RD STE 220South Burlington, VT 05403-6491
Mailing Address1775 Williston Rd Ste 220South Burlington, VT 05403-6491 · (802) 861-0200 · Fax (802) 861-0210
Phone(802) 861-0200
Fax(802) 861-0210
Sole ProprietorNo
Enumeration DateDecember 15, 2006
Last NPPES UpdateApril 22, 20202 updates tracked since enumeration
NPPES CertifiedApril 22, 2020
✔ NPI 1023170792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VT · 055.0031364
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1775 WILLISTON RD STE 220, South Burlington, VT 05403
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Other Identifiers 1

Medicaid9001155VT

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Malaney's NPI number?

The NPI number for Kellie Malaney is 1023170792. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Kellie Malaney located?

Kellie Malaney practices at 1775 Williston Rd Ste 220, South Burlington, VT 05403. The listed phone number is (802) 861-0200.

What is Kellie Malaney's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kellie Malaney was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.