Kaili Masamoto

NPI #1871132415 in White River Junction, Vermont

Provider Information

NPI Number: 1871132415
Entity Type: Individual
Name: Kaili Masamoto
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Dec 30, 2019
Last Updated: Jun 10, 2021

Practice Location

Address: 163 VETERANS DRIVE
City: White River Junction
State: Vermont
ZIP Code: 05009-4857
Phone: (802) 295-9363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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