Individual
KILEEN S URIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2 DUDLEY ST, SUITE 200, PROVIDENCE, RI 02905-3236
(401) 884-9840
(401) 884-8697
Mailing address
137 GRANDVIEW AVE, LINCOLN, RI 02865-2917
(401) 884-1177
(401) 884-8697
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01800
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26729
BLUE CHIP
RI
Enumeration date
07/20/2006
Last updated
12/18/2007
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