# DR. KENNY CORREIA

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

## Provider details

- **NPI number:** 1588893895
- **Gender:** Man
- **Credential:** PHARMD, CDOE, CVDOE

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | RPH04819 | RI | Yes |
| 1835P2201X | Ambulatory Care Pharmacist | RPH04819 | RI | — |

## Other

- **Enumeration date:** 07/08/2009
- **Last updated:** 08/28/2025