Healthcare Provider Details

I. General information

NPI: 1861315467
Provider Name (Legal Business Name): KAYLA MARIE PERRY
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 VALLEY RD
MIDDLETOWN RI
02842-6329
US

IV. Provider business mailing address

108 COUNTY RD
EAST FREETOWN MA
02717-1615
US

V. Phone/Fax

Practice location:
  • Phone: 401-846-1213
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2377856
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN71292
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: