Individual
KATHLEEN BICKNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
345 BLACKSTONE BLVD, BLDG 100, PROVIDENCE, RI 02906-4800
(401) 681-4996
(401) 921-6569
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01766
RI
Other
Enumeration date
05/30/2024
Last updated
03/04/2025
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