Mikayla Lynn Klooster
Physician Assistant in Longmeadow, MA. Individual provider (NPI-1).
NPI number1619651981
StatusActive
Last updated in NPPESOct 27, 2025
Details
- NPI
- 1619651981
- Entity type
- Individual (NPI-1)
- Name
- Mikayla Lynn Klooster
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2023
- Certification date
- Oct 27, 2025
- Last updated
- Oct 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 3309 | NE | Yes |
Practice location
588 Longmeadow StLongmeadow, MA 01106-2212
Phone 303-827-5088
Mailing address
207 Gatewood DrEnfield, CT 06082-6302
Phone 303-827-5088
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All 36 Physician Assistant providers in Longmeadow · All 629 providers in Longmeadow
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