# DR. KENNETH J MORRISSEY, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164540753
- **Authorized official:** DR. KENNETH J MORRISSEY MD (ORTHOPAEDIC SURGEON)
- **Authorized official phone:** (401) 944-8700

## Contact information

- **Practice address:** 1150 RESERVOIR AVE, SUITE 200, CRANSTON, RI 02920-6068
- **Practice address phone:** (401) 944-8700
- **Practice address fax:** (401) 944-8767
- **Mailing address:** 1150 RESERVOIR AVE, SUITE 200, CRANSTON, RI 02920-6068
- **Mailing address phone:** (401) 944-8700
- **Mailing address fax:** (401) 944-8767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | MD06505 | RI | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 05/14/2012