KAILEY ELIZABETH LYFORD PA-C NPI 1184066110

NPI Information

NPI: 1184066110
Provider Name: KAILEY ELIZABETH LYFORD, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2 DUDLEY ST
SUITE 200
PROVIDENCE, RI
ZIP 02905
Phone: (401) 330-1420
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Kailey Elizabeth Lyford, PA-C is a medical physician assistant in Providence, RI with 11 years of experience. Kailey Elizabeth Lyford, PA-C NPI is 1184066110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2 DUDLEY ST
SUITE 200
PROVIDENCE, RI
ZIP 02905-236
Phone: (401) 330-1420

The NPI 1184066110 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2013 and was last updated on 12/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	C5-0000889	DELAWARE	No
2	363AM0700X	Physician Assistant	Medical	PA00842	RHODE ISLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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