Individual
KELVIN D GILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
845 NORTH MAIN STREET, STE #7, PROVIDENCE, RI 02904
(401) 383-6776
(401) 383-7213
Mailing address
845 NORTH MAIN STREET, STE #7, PROVIDENCE, RI 02904
(401) 383-6776
(401) 383-7213
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8918
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004961
—
RI
Enumeration date
11/27/2006
Last updated
02/18/2014
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