NPI 1174053888

Katelyn Mae Larsson, PAC

Practitioner Physician Assistant Pawtucket, RI

Practice location

Address: 1145 Main St, Pawtucket, RI 02860-7825
Phone: (401) 722-0081
Fax: (401) 312-0318
Mailing address: 21 Peace St, Providence, RI 02907-1510

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA00977 (RI)

Other Physician Assistant providers in Rhode Island →

Registry record

NPI: 1174053888
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2017
Record last updated: 6 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.