Individual
DR. KENNETH M SEGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
677 HOPE ST, PROVIDENCE, RI 02906-2651
(401) 421-7466
(401) 751-3883
Mailing address
677 HOPE ST, PROVIDENCE, RI 02906-2651
(401) 421-7466
(401) 751-3883
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM00193
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0619880001
DME
RI
01
—
7194
BLUE CROSS
RI
05
—
9007194
—
RI
Enumeration date
04/28/2006
Last updated
11/02/2007
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