Individual
KELVIN NAM DOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
164 SUMMIT AVE # C70, PROVIDENCE, RI 02906-2853
(401) 793-4545
(401) 793-7866
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 854-2428
(401) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00654
RI
Other
Enumeration date
09/14/2012
Last updated
01/29/2020
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