Kalista Madison Hartley, PA-C
Physician Assistant in East Greenwich, RI. Individual provider (NPI-1).
NPI number1023920139
StatusActive
Last updated in NPPESSep 22, 2026
Details
- NPI
- 1023920139
- Entity type
- Individual (NPI-1)
- Name
- Kalista Madison Hartley
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2026
- Certification date
- Sep 22, 2026
- Last updated
- Sep 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
861 Frenchtown RdEast Greenwich, RI 02818-1511
Phone 401-500-5954
Mailing address
861 Frenchtown RdEast Greenwich, RI 02818-1511
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All 27 Physician Assistant providers in East Greenwich · All 790 providers in East Greenwich
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