Individual
DR. BRIAN PATRICK KILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2345 MENDON RD, WOONSOCKET, RI 02895
(401) 765-5430
(401) 765-5430
Mailing address
2345 MENDON RD, WOONSOCKET, RI 02895
(401) 765-5430
(401) 765-5430
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4190
MA
152W00000X
Optometrist
Primary
ODTG00492
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
254602
BLUE CROSS
RI
05
—
7008732
—
RI
01
—
Y0816Y
BLUE CHIP
RI
Enumeration date
07/17/2006
Last updated
07/08/2007
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