Kwetkowski, Brian George

Kwetkowski, Brian George is an sole proprietor health care provider with primary practice located at 320 Phillips St Ste 201 , North Kingstown RI 02852-5149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kwetkowski, Brian George can be contacted via phone (401) 295-3120.

Contact Information

Primary practice address
320 Phillips St Ste 201 North Kingstown RI 02852-5149
Fax: (401) 295-1230
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO00498 Rhode Island

Profile Details

NPI number 1114038445
LBN Legal business name Kwetkowski, Brian George
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Feb 17th, 2023 - about 2 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 1114038445 NPPES
Rhode Island MEDICAID BK42026

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