Radie Keane, Kathy

Radie Keane, Kathy is an individual health care provider with primary practice located at 825 N Main St , Providence RI 02904-5707. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Radie Keane, Kathy can be contacted via phone (401) 521-9700.

Contact Information

Primary practice address
825 N Main St Providence RI 02904-5707
Phone: (401) 521-9700
Fax: (401) 751-1686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 088516 Rhode Island

Profile Details

NPI number 1912900879
LBN Legal business name Radie Keane, Kathy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jan 19th, 2016 - about 8 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 1912900879 NPPES
Rhode Island MEDICAID 7004866
Rhode Island Other 920005159
Rhode Island MEDICAID 110081540A

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