Individual
NATHAN CALABRO-KAILUKAITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(404) 444-4000
Mailing address
74 JOHN ST, PROVIDENCE, RI 02906-2034
(860) 921-7888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
390200000
DC
207RN0300X
Nephrology Physician
LPO3724
RI
207RN0300X
Nephrology Physician
Primary
MD16102
RI
Other
Enumeration date
05/07/2013
Last updated
05/07/2018
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