Individual
KENNETH MARK PAULHUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
18 ORCHARD ST, BLACKSTONE, MA 01504-1209
(774) 210-2204
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
02/07/2022
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