IndividualActive
Kayla Hersey
NPI 1336879188 · Medical Physician Assistant · Providence, RI
Provider details
- NPI number
- 1336879188
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PA01473 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
164 Summit Ave
Providence, RI 02906-2853
Phone: (401) 793-3550
Approximate (ZIP-level) locationGet directions
Mailing address
1535 Atwood Ave Apt 106
Johnston, RI 02919-3232
Registry dates
- Enumerated
- 2022-06-14
- Last updated
- 2022-06-14
- Certified
- 2022-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.