Individual
MRS. KAYLA REALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
78 BAKER ST, PROVIDENCE, RI 02905-4417
(401) 781-2400
Mailing address
78 BAKER ST, PROVIDENCE, RI 02905-4417
(401) 781-2400
(401) 781-2687
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN02943
RI
Other
Enumeration date
12/04/2021
Last updated
04/02/2024
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