Individual
KELVIN VALERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-5610
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-5610
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2022
Last updated
04/10/2026
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