Individual
CAITLIN MARY KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10 DAVOL SQ, PROVIDENCE, RI 02903-4754
(401) 421-4000
Mailing address
10 DAVOL SQUARE, 400, PROVIDENCE, RI 02903
(401) 421-4000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH05475
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH05475
LICENSE
RI
Enumeration date
01/25/2018
Last updated
01/25/2018
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