Organization
KENNETH M. SEGAL, DPM, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH M SEGAL DPM (PODIATRIST)
(401) 421-7466
Entity
Organization
Contact information
Practice address
677 HOPE STREET, PROVIDENCE, RI 02906-2651
(401) 421-7466
(401) 751-3883
Mailing address
677 HOPE STREET, PROVIDENCE, RI 02906-2651
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9007194
—
RI
Enumeration date
03/12/2007
Last updated
12/14/2007
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