IndividualActive
Kylie Broughal, PA
NPI 1326525270 · Medical Physician Assistant · Providence, RI
Provider details
- NPI number
- 1326525270
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 022166 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7 Central St
Providence, RI 02907-2201
Phone: (401) 648-4700
Approximate (ZIP-level) locationGet directions
Mailing address
7 Central St
Providence, RI 02907-2201
Registry dates
- Enumerated
- 2018-07-24
- Last updated
- 2025-03-28
- Certified
- 2025-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.