Kristen A Hannigan, PA-C
Physician Assistant in Providence, RI. Individual provider (NPI-1).
NPI number1750828596
StatusActive
Last updated in NPPESFeb 19, 2026
Details
- NPI
- 1750828596
- Entity type
- Individual (NPI-1)
- Name
- Kristen A Hannigan
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 31, 2017
- Certification date
- Feb 19, 2026
- Last updated
- Feb 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA00936 | RI | Yes |
Practice location
101 Dudley StProvidence, RI 02905-2401
Phone 401-453-7950 · Fax 401-453-7658
Mailing address
101 Dudley StProvidence, RI 02905-2401
Phone 401-453-7950 · Fax 401-453-7658
Other practice locations
2109 Hartford Ave
Johnston, RI 02919-3246
Johnston, RI 02919-3246
Phone 626-319-5932
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All 267 Physician Assistant providers in Providence · All 11,044 providers in Providence
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