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Individual

KIMBALLI P STARTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HIS

Contact information

Practice address
3520 POST RD, WARWICK, RI 02886
(401) 921-0181
(401) 921-5826
Mailing address
3520 POST RD, WARWICK, RI 02886-7140
(401) 921-0181
(401) 921-5826

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
000322
CT
237700000X
Hearing Instrument Specialist
Primary
HAD00124
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
261116920
TAX ID
RI
Enumeration date
05/01/2012
Last updated
12/03/2019
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