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NPI Code Detail

MEDICARE: KATHLEEN DOYLE

MEDICARE: KATHLEEN DOYLE
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
1163WP0807XChild & Adolescent Psychiatric/Mental Health Registered NursePPNS00039RI
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN00410RI

General Provider Information

NPI Number : 1346447349
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN DOYLE
Provider Business Mailing Address
First Line : 120 BIRCHWOOD DR
Second Line :
City : WAKEFIELD
State : RI
Zip : 02879-8117
Country : US
Telephone Number :
Fax Number :
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 : 400-129-4045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2007
Last Update Date : 05/09/2023

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Directions to “ KATHLEEN DOYLE ” Practice Location

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