Individual
DR. GABOR ISTVAN KEITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY STREET, POTTER 3, PROVIDENCE, RI 02903-4923
(401) 444-3534
(401) 444-3298
Mailing address
593 EDDY STREET, APC 978, PROVIDENCE, RI 02903-4923
(401) 444-4318
(401) 444-7865
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD05632
RI
2084P0805X
Geriatric Psychiatry Physician
MD05632
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9006028
—
RI
Enumeration date
12/06/2005
Last updated
03/12/2012
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