Kristopik, Kathleen Marie
Kristopik, Kathleen Marie is an individual health care provider with primary practice located at 530 N Main St , Providence RI 02904-5762. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Kristopik, Kathleen Marie can be contacted via phone (401) 276-6175.Contact Information
Primary practice address
530 N Main St
Providence RI 02904-5762
Phone: (401) 276-6175
Fax: (401) 276-4124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | RN29402 | Rhode Island |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 162260 | Massachusetts |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN29402 | Rhode Island |
Profile Details
| NPI number | 1245200195 |
|---|---|
| LBN Legal business name | Kristopik, Kathleen Marie |
| Credentials | Registered Nurse Certified (RNC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Mar 17th, 2018 - about 8 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 | 1245200195 | NPPES |
| Rhode Island | MEDICAID | KK12537 |
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