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Individual

MRS. ALEAH W KIRCHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
850 AQUIDNECK AVE, MIDDLETOWN, RI 02842-7280
(401) 846-0055
(401) 842-0963
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00598
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0027112
MEDICARE PTAN
01
1750677514
MEDICAID
RI
Enumeration date
06/21/2011
Last updated
04/09/2024
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