Individual
KENNETH DUVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 738-1516
(401) 738-8837
Mailing address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090-2321
(781) 407-7713
(781) 407-0998
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA18841
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00413751
RRMR
RI
Enumeration date
12/29/2005
Last updated
12/17/2007
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