Individual
KEELIN ELIZABETH COVACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2178 MENDON RD, CUMBERLAND, RI 02864-3805
(401) 333-5201
Mailing address
200 HEROUX BLVD UNIT 1606, CUMBERLAND, RI 02864-2388
(203) 829-8504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3454
CT
363A00000X
Physician Assistant
Primary
PA00922
RI
Other
Enumeration date
10/20/2015
Last updated
09/11/2018
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