Fallavollita, Kathryn

Fallavollita, Kathryn is an individual health care provider with primary practice located at 375 Wampanoag Trl , Riverside RI 02915-2232. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fallavollita, Kathryn can be contacted via phone (401) 649-4070.

Contact Information

Primary practice address
375 Wampanoag Trl Riverside RI 02915-2232
Phone: (401) 649-4070
Fax: (401) 649-4071
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3383 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA5430 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01569 Rhode Island

Profile Details

NPI number 1275918286
LBN Legal business name Fallavollita, Kathryn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2015
Last updated Jul 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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