Amaral, Kelly Pacheco

Amaral, Kelly Pacheco is an individual health care provider with primary practice located at 626 Park Ave Ste 2A , Cranston RI 02910-2154. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Amaral, Kelly Pacheco can be contacted via phone (401) 270-9991.

Contact Information

Primary practice address
626 Park Ave Ste 2A Cranston RI 02910-2154
Phone: (401) 270-9991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT01904 Rhode Island

Profile Details

NPI number 1689289209
LBN Legal business name Amaral, Kelly Pacheco
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2020
Last updated Mar 28th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689289209 NPPES
Rhode Island MEDICAID 0163744043

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