Individual
KELCIE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914-5375
(401) 330-1400
Mailing address
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914-5375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01735
RI
Other
Enumeration date
07/05/2022
Last updated
10/07/2024
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