Individual
MS. SHARONDA EVETTE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
593 EDDY STREET, APC-6, LIFESPAN PHYSICIAN'S GROUP, DEPT OF NEUROSURGERY, PROVIDENCE, RI 02903
(401) 793-9138
(401) 444-2781
Mailing address
593 EDDY STREET, APC-6, LIFESPAN PHYSICIAN'S GROUP, DEPT OF NEUROSURGERY, PROVIDENCE, RI 02903
(401) 793-9138
(401) 444-2781
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0003694
MD
363A00000X
Physician Assistant
Primary
PA00823
RI
Other
Enumeration date
02/27/2006
Last updated
06/02/2016
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