Kylie Broughal, PA
Physician Assistant, Medical in Providence, Rhode Island
1326525270- Practice location
- 7 Central St, Providence, RI 02907-2201
- Phone
- 401-648-4700
- Fax
- —
- Last updated
- March 28, 2025
Kylie Broughal is a Physician Assistant, Medical based in Providence, RI. Kylie Broughal practices in Providence, RI and has the professional credentials of PA. The NPI Number for Kylie Broughal is 1326525270 and holds a License No. 022166 (NY). The current practice location address for Kylie Broughal is 7 Central St, Providence, RI 02907-2201 and can be reached out via phone at 401-648-4700.
Provider Profile Details
- NPI Number
- 1326525270
- Provider Name
- Kylie Broughal
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 7 Central St, Providence, RI 02907-2201
- Phone Number
- 401-648-4700
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 24, 2018
- Last Update Date
- March 28, 2025
- Certification Date
- March 28, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7 Central St
Providence, RI 02907-2201 - City
- Providence
- State
- Rhode Island
- Zip
- 02907-2201
- Phone Number
- 401-648-4700
Provider Business Mailing Address Details
- Address
- 7 Central St
Providence, RI 02907-2201 - City
- Providence
- State
- RI
- Zip
- 02907-2201
- Phone Number
- 401-648-4700
License Information
- License Number (1)
- 022166
- License State (1)
- NY
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- PA01436
- License State (2)
- RI
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kylie Broughal, PA?
The NPI number of Kylie Broughal, PA is 1326525270. It was assigned on July 24, 2018 and is currently active in the NPPES registry.
What is the specialty of Kylie Broughal, PA?
Kylie Broughal, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 022166.
Where does Kylie Broughal, PA practice?
The practice location is 7 Central St, Providence, RI 02907-2201. The office can be reached at 401-648-4700 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326525270 directly on the NPPES registry website.