Individual provider · Type 1 NPI

Mikayla Lynn Klooster

Physician Assistant · Longmeadow, MA

NPI number 1619651981 Active

Practice location

588 Longmeadow St
Longmeadow, MA 01106-2212

Mailing address

207 Gatewood Dr
Enfield, CT 06082-6302

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X3309 (NE)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619651981

Mikayla Lynn Klooster's National Provider Identifier is 1619651981, issued on Jun 14, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Longmeadow, MA. The record was last updated on Oct 27, 2025.