Individual
MRS. KATHLEEN MARIE KRISTOPIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-6175
(401) 276-4124
Mailing address
14 URSULA DR, BRISTOL, RI 02809-4352
(401) 253-6527
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN29402
RI
163WP0808X
Psychiatric/Mental Health Registered Nurse
162260
MA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN29402
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KK12537
—
RI
Enumeration date
01/24/2006
Last updated
03/17/2018
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