Individual
KERBY NEUVIEME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 BRANCH AVE STE 150, PROVIDENCE, RI 02904-2756
(401) 606-2590
(401) 606-2591
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01716
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2022
Last updated
08/07/2024
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