Individual
KATHLYN H MONTEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 PEACE ST, PROVIDENCE, RI 02907-1510
(401) 456-4250
Mailing address
21 PEACE ST, PROVIDENCE, RI 02907-1510
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN20945
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN20945
LICENSE NUMBER
RI
Enumeration date
12/08/2006
Last updated
07/08/2007
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