Organization
KIDS KLUB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD RAYMOND SMITH MBA, RN (CFO)
(401) 723-2277
Entity
Organization
Contact information
Practice address
462 SMITHFIELD AVE, PAWTUCKET, RI 02860-2552
(401) 723-2277
(401) 475-4832
Mailing address
462 SMITHFIELD AVE, PAWTUCKET, RI 02860-2552
(401) 723-2277
(401) 475-4832
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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