Provider Demographics
NPI:1477027175
Name:LEONE, KARLI (PA-C)
Entity type:Individual
Prefix:
First Name:KARLI
Middle Name:
Last Name:LEONE
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:KARLI
Other - Middle Name:
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 N MOUNTAIN RD STE 202
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-1848
Mailing Address - Country:US
Mailing Address - Phone:860-696-2040
Mailing Address - Fax:860-696-2050
Practice Address - Street 1:201 N MOUNTAIN RD STE 202
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062-1848
Practice Address - Country:US
Practice Address - Phone:860-696-2040
Practice Address - Fax:860-696-2050
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT23.004300363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical