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Individual

KEIR JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5127
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LP05840
RI

Other

Enumeration date
05/08/2023
Last updated
06/23/2023
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