Keith B Sunderlin, PAC
NPI #1093707655 in Providence, Rhode Island
Provider Information
- NPI Number
- 1093707655
- Entity Type
- Individual
- Name
- Keith B Sunderlin, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Aug 19, 2005
- Last Updated
- Oct 22, 2010
Practice Location
- Address
- 593 EDDY ST
- Address 2
- APC 4
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02903-4923
- Phone
- (401) 444-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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