Individual
DR. ANITA SUSAN KESTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.P.H
Contact information
Practice address
167 POINT ST, SUITE 213, PROVIDENCE, RI 02903-4771
(401) 350-5752
Mailing address
167 POINT ST, SUITE 213, PROVIDENCE, RI 02903-4771
(401) 350-5752
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
060780
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060780
STATE LICENSE
RI
Enumeration date
08/21/2009
Last updated
08/21/2009
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