Wagg, Kenneth Judson

Wagg, Kenneth Judson is an individual health care provider with primary practice located at 117 Chapman St Ste 200 , Providence RI 02905-5400. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Wagg, Kenneth Judson can be contacted via phone (401) 444-9909.

Contact Information

Primary practice address
117 Chapman St Ste 200 Providence RI 02905-5400
Fax: (401) 444-4095
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X RPH06239 Rhode Island

Profile Details

NPI number 1194589622
LBN Legal business name Wagg, Kenneth Judson
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2024
Last updated Feb 6th, 2024 - about last year

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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