Individual
KAITLYN WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
593 EDDY STREET, RHODE ISLAND HOSPITAL, PROVIDENCE, RI 02903-4923
(401) 444-6966
(401) 444-5462
Mailing address
117 ELLENFIELD ST, PROVIDENCE, RI 02905-4513
(401) 444-5640
(401) 444-5462
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
LDN00882
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41007
HOSPITAL MEDICARE ID
RI
Enumeration date
11/08/2016
Last updated
11/08/2016
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