Kendall, Agnieszka

Kendall, Agnieszka is an individual health care provider with primary practice located at 65 Village Square Dr Ste 101 , South Kingstown RI 02879-2292. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kendall, Agnieszka can be contacted via phone (401) 789-5924.

Contact Information

Primary practice address
65 Village Square Dr Ste 101 South Kingstown RI 02879-2292
Phone: (401) 789-5924
Fax: (401) 782-1770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD15868 Rhode Island

Profile Details

NPI number 1104837780
LBN Legal business name Kendall, Agnieszka
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Apr 9th, 2024 - about 2 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 1104837780 NPPES
Rhode Island MEDICAID 1104837780

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