Individual
KEITH A PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 CEDAR SWAMP RD, SMITHFIELD, RI 02917-2448
(401) 231-0060
(401) 231-0064
Mailing address
14 CEDAR SWAMP RD, SMITHFIELD, RI 02917-2448
(401) 231-0060
(401) 231-0064
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD07817
RI
208VP0000X
Pain Medicine Physician
MD07817
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7002962
—
RI
Enumeration date
05/19/2006
Last updated
03/19/2018
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