Individual
MATTHEW GANIM KINSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCC-SLP
Contact information
Practice address
49 FARNUM PIKE, SMITHFIELD, RI 02917-3211
(401) 949-2056
Mailing address
35 WEDGE ST, CRANSTON, RI 02920-1720
(571) 419-3888
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP01607
RI
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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