Individual
KRISTINA EILEEN MCATEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
LP00189
RI
207P00000X
Emergency Medicine Physician
Primary
MD13001
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001332201
RI MEDICARE
RI
01
—
04152009
UNITED HEALTHCARE
RI
01
—
10-27-2009
TUFTS HEALTH PLAN
MA
01
—
11-12-2009
NHPRI
RI
05
—
110083627A
—
MA
01
—
12-31-2009
BCBSRI
RI
01
—
939025129
RI MEDICARE GROUP
RI
05
—
KM77728
—
RI
Enumeration date
04/16/2007
Last updated
08/30/2011
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