Keith B Sunderlin PAC

NPI 1093707655 - Physician Assistant - 363A00000X

NPI Details
NPI 1093707655
Gender Male
Enumeration Date 08/19/2005
Last Updated 10/22/2010
Entity Type Individual
Active Over 12 years ago
Practice Location
PROVIDENCE RI, 02903-4923, US
Phone (401) 444-4000
Fax (401) 444-6681
Business Location
PO BOX 16149
RUMFORD RI, 02916-0697, US
Phone (401) 453-9625
Fax (401) 435-7069
Taxonomy Code 363A00000X
License State North Carolina
License Number 102283
Remove 1093707655 NPI Number

According to our database, Keith B Sunderlin PAC NPI is 1093707655, taxonomy code is 363A00000X and license number is 102283, license state is located at North Carolina. Keith B Sunderlin PAC physically located at 593 Eddy St, Providence RI, 02903-4923. NPI Number Keith B Sunderlin PAC has the Individual type.

1093707655 NPI number is provided on an as is basis without warranty of any kind. 1093707655 is maintained by the National Plan & Provider Enumeration System. The contents of Keith B Sunderlin PAC are for informational purposes only.