KATHLEEN WALL NP NPI 1366647364

NPI Information

NPI: 1366647364
Provider Name: KATHLEEN WALL, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
1351 S COUNTY TRL
EAST GREENWICH, RI
ZIP 02818
Phone: (401) 886-7084
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Kathleen Wall, NP is an adult health nurse practitioner in East Greenwich, RI. Kathleen Wall, NP NPI is 1366647364. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1351 S COUNTY TRL
EAST GREENWICH, RI
ZIP 02818-079
Phone: (401) 886-7084
Fax: (401) 886-5907

The enumeration date for this NPI number is 6/19/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	14381	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	KW08979	MEDICAID	RHODE ISLAND
2	S66203	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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