Individual
KAYLEE J MATTIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
73 HIGHLAND AVE UNIT C, EAST PROVIDENCE, RI 02914-1244
(401) 414-4545
(401) 489-7975
Mailing address
73 HIGHLAND AVE UNIT C, EAST PROVIDENCE, RI 02914-1244
(401) 414-4545
(401) 489-7975
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01217
RI
Other
Enumeration date
03/13/2020
Last updated
02/17/2026
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