State of Rhode Island
NPI #1245455724 in Kingston, Rhode Island
Provider Information
- NPI Number
- 1245455724
- Entity Type
- Organization
- Organization Name
- State of Rhode Island
- Primary Specialty
- Clinic/Center - Student Health
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 6 BUTTERFIELD ROAD
- Address 2
- POTTER BUILDING
- City
- Kingston
- State
- Rhode Island
- ZIP Code
- 02881
- Phone
- (401) 874-5155
Authorized Official
- Name
- MS. ELLEN M REYNOLDS, MS
- Title
- ASSOCIATE DIRECTOR, HEALTH SERVICES
- Phone
- (401) 874-5155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Student Health — Student Health |
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