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
Phone: (401) 444-9909
Fax: (401) 444-4095
Website:
Health care specialties
Specialty | Code | License # | 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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