Search › Rhode Island › 363A00000X
Ethan Klausmeyer, PA-C
NPI 1174162481 · on the registry since 2020
Practice
- Address
- 17 Airport Rd
Warwick, RI 02889 - Phone
- (401) 606-3110
- Organisation at this address
- Lifespan Physician Group, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 1 Kettle Point Ave, East Providence, RI
- 675 Paramount Dr Ste 301, Raynham, MA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- MD, RI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island