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Individual

LESLIE KENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
900 WARREN AVE, SUITE 401, EAST PROVIDENCE, RI 02914-1430
(800) 508-4908
(401) 228-6236
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN00996
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23643
BCBS OF RI
RI
01
709003711
MEDICARE GROUP
RI
01
709004155
MEDICARE GROUP
RI
05
LK37222
RI
Enumeration date
09/12/2005
Last updated
03/31/2016
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