Individual
KRISTIN L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8638
(401) 444-2085
Mailing address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-8638
(401) 444-2085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD12046
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KA61787
—
RI
Enumeration date
05/26/2006
Last updated
01/04/2016
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