Individual
MS. KATELYN MAE LARSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1145 MAIN ST, PAWTUCKET, RI 02860-7825
(401) 722-0081
(401) 312-0318
Mailing address
21 PEACE ST, PROVIDENCE, RI 02907-1510
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00977
RI
Other
Enumeration date
06/14/2017
Last updated
10/06/2025
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