# KEVIN E BAILL, MD AND ASSOCIATES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** East Side Recovery Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205259793
- **Authorized official:** DR. KEVIN ELLIOT BAILL MD (PRESIDENT)
- **Authorized official phone:** (917) 447-2138

## Contact information

- **Practice address:** 345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
- **Practice address phone:** (917) 447-2138
- **Mailing address:** PO BOX 603198, PROVIDENCE, RI 02906-0198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 12179 | RI | Yes |

## Other

- **Enumeration date:** 02/04/2014
- **Last updated:** 03/13/2014