Kristopik, Kathleen Marie

Kristopik, Kathleen Marie is an individual health care provider with primary practice located at 530 N Main St , Providence RI 02904-5762. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Kristopik, Kathleen Marie can be contacted via phone (401) 276-6175.

Contact Information

Primary practice address
530 N Main St Providence RI 02904-5762
Phone: (401) 276-6175
Fax: (401) 276-4124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN29402 Rhode Island
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 162260 Massachusetts
Nursing Service Providers / Registered Nurse 163W00000X RN29402 Rhode Island

Profile Details

NPI number 1245200195
LBN Legal business name Kristopik, Kathleen Marie
Credentials Registered Nurse Certified (RNC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Mar 17th, 2018 - about 6 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 1245200195 NPPES
Rhode Island MEDICAID KK12537

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