Healthcare Provider Details

I. General information

NPI: 1538076492
Provider Name (Legal Business Name): AIDEN DENIS FLOOD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 TOOTELL RD
KINGSTON RI
02881-1112
US

IV. Provider business mailing address

20 TOOTELL RD
KINGSTON RI
02881-1112
US

V. Phone/Fax

Practice location:
  • Phone: 401-874-4475
  • Fax:
Mailing address:
  • Phone: 401-874-4475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberEMT20196
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: