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Individual

KRYSTAL COUTCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
535 CENTERVILLE RD, WARWICK, RI 02886-4486
(800) 659-5411
Mailing address
489 COMSTOCK PKWY, CRANSTON, RI 02921-2345
(203) 800-5567

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
23.003718
CT
363AM0700X
Medical Physician Assistant
Primary
PA01257
RI

Other

Enumeration date
10/28/2016
Last updated
12/11/2025
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