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Individual
DR. KENNY CORREIA
Active
Individual
DR. KENNY CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, CDOE, CVDOE
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
RPH04819
RI
174H00000X
Health Educator
RPH04819
RI
183500000X
Pharmacist
PH232913
MA
183500000X
Pharmacist
RPH04819
RI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH04819
RI
1835P2201X
Ambulatory Care Pharmacist
RPH04819
RI
Other
Enumeration date
07/08/2009
Last updated
08/28/2025
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