Individual
LOREEN R. KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN00316
RI
363L00000X
Nurse Practitioner
NPP37243
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070583782
RI MEDICARE
RI
01
—
03012011
UNITED HEALTHCARE
RI
01
—
03032011
BCBSRI
RI
01
—
05-12-2011
NHPRI
RI
05
—
7057754
—
RI
Enumeration date
03/09/2006
Last updated
01/01/2025
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