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Organization

DR. KENNETH J MORRISSEY, MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH J MORRISSEY MD (ORTHOPAEDIC SURGEON)
(401) 944-8700
Entity
Organization

Contact information

Practice address
1150 RESERVOIR AVE, SUITE 200, CRANSTON, RI 02920-6068
(401) 944-8700
(401) 944-8767
Mailing address
1150 RESERVOIR AVE, SUITE 200, CRANSTON, RI 02920-6068
(401) 944-8700
(401) 944-8767

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD06505
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200054
BLUE CHIP
RI
05
9002080
RI
Enumeration date
03/26/2007
Last updated
05/14/2012
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