Individual
MRS. KERYN ELIZABETH KWAN-DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
137 SANDY BOTTOM RD, COVENTRY, RI 02816-5865
(401) 822-3676
Mailing address
123 STONE GATE DR, NORTH KINGSTOWN, RI 02852-4745
(603) 568-3817
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT01630
RI
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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