Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kathleen Danilczyk, PA-C

Individual provider Physician Assistant · NPI 1164658043

Mrs. Kathleen Danilczyk, PA-C is a Physician Assistant in Providence, Rhode Island. Qualified in 2009, 17 years ago. Practices with Prospect Chartercare Rwmc, LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
17
Licensed in
RI
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

825 Chalkstone Ave
Providence, RI 02908-4728
Phone: (401) 459-5748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00998 (RI)

Record details

NPI number1164658043
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 4, 2009
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Prospect Chartercare Rwmc, Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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