Individual
KATELYN MARY PIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
539 EDDY ST., PROVIDENCE, RI 02903
(401) 444-5435
Mailing address
15 WARNER ST # 2, NEWPORT, RI 02840-2038
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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