Individual
KELSEY HECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
593 EDDY ST., CLAVERICK 2, PROVIDENCE, RI 02903
(401) 444-4000
Mailing address
125 WHIPPLE ST STE 3, PROVIDENCE, RI 02908-3258
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100714
MA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/18/2023
Last updated
11/01/2024
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