Individual provider · Type 1 NPI

Kayla Hersey

Medical Physician Assistant · Providence, RI

NPI number 1336879188 Active

Practice location

164 Summit Ave
Providence, RI 02906-2853

Mailing address

1535 Atwood Ave Apt 106
Johnston, RI 02919-3232

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01473 (RI)

Medical Physician Assistant: Definition to come...

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About NPI 1336879188

Kayla Hersey's National Provider Identifier is 1336879188, issued on Jun 14, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Providence, RI. The record was last updated on Jun 14, 2022.