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Individual

CORINNE KEENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 788-1275
Mailing address
100 KENYON AVE, WAKEFIELD, RI 02879-4216

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN12083
RI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
PPNS00007
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
406136
BLUE CHIP
RI
01
62-36637
UNITED BEHAVIORAL HEALTH
RI
05
9002834
RI
Enumeration date
09/25/2006
Last updated
12/15/2009
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