Bruning, Kristin Lee
Bruning, Kristin Lee is an individual health care provider with primary practice located at 593 Eddy St Apc 970, Providence RI 02903-4923. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Bruning, Kristin Lee can be contacted via phone (401) 444-4515.Contact Information
Primary practice address
593 Eddy St Apc 970
Providence RI 02903-4923
Phone: (401) 444-4515
Fax: (401) 444-7018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD10319 | Rhode Island |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD10319 | Rhode Island |
Profile Details
| NPI number | 1750365797 |
|---|---|
| LBN Legal business name | Bruning, Kristin Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750365797 | NPPES |
| Rhode Island | MEDICAID | KB32250 |
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