Individual
KATHRYN PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
164 SUMMIT AVE, CARDIOLOGY NP OFFICE 4TH FLOOR, PROVIDENCE, RI 02906-2853
(401) 793-2500
(401) 793-3141
Mailing address
164 SUMMIT AVE, CARDIOLOGY NP OFFICE 4TH FLOOR, PROVIDENCE, RI 02906-2853
(401) 793-2500
(401) 793-3141
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NPP37363
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200001260A
—
OK
Enumeration date
10/05/2005
Last updated
09/11/2025
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