Individual
KATHRYN ELIZABETH WISNEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
333 SCHOOL ST STE 112A, PAWTUCKET, RI 02860-5336
(401) 728-6990
Mailing address
333 SCHOOL ST STE 112A, PAWTUCKET, RI 02860-5336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01463
RI
Other
Enumeration date
07/12/2022
Last updated
11/29/2022
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