Organization
CHILDREN'S HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELVIN D GILLMAN M.D. (PRESIDENT)
(401) 383-6776
Entity
Organization
Contact information
Practice address
845 N MAIN ST, SUITE 7, PROVIDENCE, RI 02904-5700
(401) 383-6776
(401) 383-7213
Mailing address
845 N MAIN ST, SUITE 7, PROVIDENCE, RI 02904-5700
(401) 383-6776
(401) 383-7213
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8918
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KG49644
—
RI
Enumeration date
03/09/2007
Last updated
12/16/2011
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