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NPI Code Detail

MEDICARE: DR. PRACHI KENE PHD, ABPP

MEDICARE: DR. PRACHI KENE PHD, ABPP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPS01275RI

General Provider Information

NPI Number : 1235441338
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRACHI KENE PHD, ABPP
Provider Business Mailing Address
First Line : 1130 TEN ROD RD STE E305
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852-4176
Country : US
Telephone Number : 401-294-0451
Fax Number : 401-294-0461
Provider Business Practice Location Address
First Line : 1130 TEN ROD RD STE E305
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852-4176
Country : US
Telephone Number : 401-294-0451
Fax Number : 401-294-0461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2010
Last Update Date : 06/14/2023

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