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Individual

DR. KATHY RADIE KEANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
825 N MAIN ST, PROVIDENCE, RI 02904-5707
(401) 521-9700
(401) 751-1686
Mailing address
PO BOX 54589, LOS ANGELES, CA 90054-0589
(508) 941-7450
(508) 941-6205

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
088516
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110081540A
MA
05
7004866
RI
01
920005159
RR MEDICARE
RI
Enumeration date
05/24/2005
Last updated
01/19/2016
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