# KENT COUNTY MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1386643294
- **Authorized official:** TODD ALAN CONKLIN (EVP CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (401) 737-7010

## Contact information

- **Practice address:** 455 TOLL GATE RD, WARWICK, RI 02886-2759
- **Practice address phone:** (401) 737-7010
- **Practice address fax:** (401) 736-1000
- **Mailing address:** 455 TOLL GATE RD, WARWICK, RI 02886-2759
- **Mailing address phone:** (401) 737-7010
- **Mailing address fax:** (401) 736-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | HOS00125 | RI | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 07/21/2005
- **Last updated:** 10/07/2026