Kids Klub, Inc.

NPI #1437212024 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1437212024
Entity Type: Organization
Organization Name: Kids Klub, Inc.
Primary Specialty: Specialist
Enumeration Date: Dec 18, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 462 SMITHFIELD AVE
City: Pawtucket
State: Rhode Island
ZIP Code: 02860-2552
Phone: (401) 723-2277

Authorized Official

Name: MR. RONALD RAYMOND SMITH, MBA, RN
Title: CFO
Phone: (401) 723-2277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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