Kevin E. Baill MD & Associates, LLC
Clinic/Center in Providence, RI. Organization (NPI-2).
NPI number1003239286
StatusActive
Last updated in NPPESJan 24, 2014
Details
- NPI
- 1003239286
- Entity type
- Organization (NPI-2)
- Legal business name
- Kevin E. Baill MD & Associates, LLC
- Organization subpart
- No
- Enumeration date
- Jan 24, 2014
- Last updated
- Jan 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 12179 | RI | Yes |
Practice location
345 Blackstone BlvdProvidence, RI 02906-4800
Phone 917-447-2138
Mailing address
345 Blackstone BlvdProvidence, RI 02906-4800
Phone 917-447-2138
Authorized official
Kevin Elliot Baill
President
9174472138
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