Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Emily Rose Kavouksorian, PA-C

Individual provider Surgical Physician Assistant · NPI 1174549745

MS. Emily Rose Kavouksorian, PA-C is a Physician Assistant in Colchester, Vermont. Qualified in 2004, 22 years ago. Practices with University of Vermont Medical Center Inc, a 1,202-clinician group and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
22
Licensed in
VT
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

354 Mountain View Dr Ste 103
Colchester, VT 05446-5968
Phone: (802) 847-3340
Fax: (802) 847-2539
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 055-0030783 (VT)

Record details

NPI number1174549745
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 15, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice University Of Vermont Medical Center Inc — 1202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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