Individual
KAITLIN TAGINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1056 HOPE ST, PROVIDENCE, RI 02906-5026
(401) 751-1235
(401) 751-4744
Mailing address
1056 HOPE ST, PROVIDENCE, RI 02906-5026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00612
RI
Other
Enumeration date
01/05/2012
Last updated
10/24/2023
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