Individual
ROBERT K. CHINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 788-1969
Mailing address
PO BOX 334, WAKEFIELD, RI 02880-0334
(401) 788-0396
(401) 788-0396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD-6958
HI
207L00000X
Anesthesiology Physician
Primary
MD11483
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059003720
MEDICARE PTAN
—
05
—
9003720
—
RI
Enumeration date
06/16/2006
Last updated
12/06/2010
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