Pack, Kathryn

Pack, Kathryn is an individual health care provider with primary practice located at 164 Summit Ave Cardiology Np Office 4Th Floor, Providence RI 02906-2853. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Pack, Kathryn can be contacted via phone (401) 793-2500.

Contact Information

Primary practice address
164 Summit Ave Cardiology Np Office 4Th Floor Providence RI 02906-2853
Phone: (401) 793-2500
Fax: (401) 793-3141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NPP37363 Rhode Island

Profile Details

NPI number 1477540250
LBN Legal business name Pack, Kathryn
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Nov 23rd, 2019 - about 5 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 1477540250 NPPES
Oklahoma MEDICAID 200001260A

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