Individual
MELISSA KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-3565
(401) 444-5493
Mailing address
DEPT 3010, PO BOX 986524, BOSTON, MA 02298-6524
(833) 924-5546
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01052
RI
Other
Enumeration date
06/01/2018
Last updated
07/18/2024
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