Kiley, Brian Patrick
Kiley, Brian Patrick is an individual health care provider with primary practice located at 2345 Mendon Rd , Woonsocket RI 02895. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kiley, Brian Patrick can be contacted via phone (401) 765-5430.Contact Information
Primary practice address
2345 Mendon Rd
Woonsocket RI 02895
Phone: (401) 765-5430
Fax: (401) 765-5430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODTG00492 | Rhode Island |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4190 | Massachusetts |
Profile Details
| NPI number | 1225055759 |
|---|---|
| LBN Legal business name | Kiley, Brian Patrick |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1225055759 | NPPES |
| Rhode Island | Other | Y0816Y | BLUE CHIP |
| Rhode Island | MEDICAID | 7008732 | BLUE CHIP |
| Rhode Island | Other | 254602 | BLUE CHIP |
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