Individual
DR. MARK E. KILMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
513 BROADWAY, NEWPORT, RI 02840-1471
(303) 995-1188
Mailing address
513 BROADWAY, NEWPORT, RI 02840-1471
(303) 995-1188
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2806
CO
103TC0700X
Clinical Psychologist
Primary
PS02231
RI
Other
Enumeration date
07/26/2006
Last updated
08/19/2025
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