CAELAN RIVER SCOTT KIVETTE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009947

License Status

ACTIVE

Business

First Name

CAELAN

Middle

RIVER

Last Name

SCOTT KIVETTE

Business Name

CAELAN RIVER SCOTT KIVETTE

Original Issue Date

08/09/2023

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

BOSTON

State

Zip

02108

Ever Disciplined

LastModifiedDate

12/08/2025