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Organization

KENNETH J. HATHAWAY DO, INC

Active
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Organization

KENNETH J. HATHAWAY DO, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH J HATHAWAY D.O. (OWNER)
(401) 783-3334
Entity
Organization

Contact information

Practice address
360 KINGSTOWN RD, SUITE 101, NARRAGANSETT, RI 02882-3239
(401) 783-3334
(401) 783-9270
Mailing address
360 KINGSTOWN RD, SUITE 101, NARRAGANSETT, RI 02882-3239
(401) 783-3334
(401) 783-9270

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO278
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3623
FEDERAL BLUE CROSS
RI
01
3623-2
BLUE CROSS BLUE SHIELD OF RI
RI
05
9003623
RI
Enumeration date
05/30/2008
Last updated
06/23/2008
Update your record

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