# KENNETH ROCEO CATALLOZZI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417943291
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | MD06517 | RI | Yes |

## Other

- **Enumeration date:** 09/27/2005
- **Last updated:** 08/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1417943291 | DURABLE | RI |
| 01 | — | 201865 | BLUE CHIP | RI |
| 01 | — | 321675 | BLUE CROSS | RI |
| 05 | — | KC26497 | — | RI |