Healthcare Provider Details

I. General information

NPI: 1336482157
Provider Name (Legal Business Name): KATHRYN MCELHENY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2013
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 TENNIS WAY
EAST DORSET VT
05253-4410
US

IV. Provider business mailing address

160 ALLEN ST
RUTLAND VT
05701-4560
US

V. Phone/Fax

Practice location:
  • Phone: 802-362-4865
  • Fax:
Mailing address:
  • Phone: 802-775-2937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080S0010X
TaxonomyPediatric Sports Medicine Physician
License Number042.0016966
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: