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Organization
KENDRA LEVI DO, LLC
Active
Organization
KENDRA LEVI DO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA LEVI DO (SOLE MEMBER)
(772) 919-5068
Entity
Organization
Contact information
Practice address
502 BULLOCKS POINT AVE, RIVERSIDE, RI 02915-3504
(772) 919-5068
Mailing address
139 LANGDON ST, PROVIDENCE, RI 02904-1108
(772) 919-5068
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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