Individual
DR. KENNETH J MORRISSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 RESERVOIR AVENUE, SUITE 200, CRANSTON, RI 02920-6064
(401) 944-8700
(401) 944-8767
Mailing address
1150 RESERVOIR AVENUE, SUITE 200, CRANSTON, RI 02920-6064
(401) 944-8700
(401) 944-8767
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD06506
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200054
BLUE CHIP
RI
01
—
2080
BC
RI
05
—
9002080
—
RI
Enumeration date
11/20/2006
Last updated
06/22/2017
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