Dodd, Kimberly A

Dodd, Kimberly A is an individual health care provider with primary practice located at 150 Chestnut St Ste 4 , Providence RI 02903-4649. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Dodd, Kimberly A can be contacted via phone (833) 229-0957.

Contact Information

Primary practice address
150 Chestnut St Ste 4 Providence RI 02903-4649
Phone: (833) 229-0957
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 232516 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD13173 Rhode Island

Profile Details

NPI number 1366646820
LBN Legal business name Dodd, Kimberly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Apr 10th, 2020 - about 6 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 1366646820 NPPES
Rhode Island MEDICAID KD79114
Rhode Island Other 000137802

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