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Contact Information

KENNETH W FRAVALA
166 MISHNOCK RD
WEST GREENWICH, RI02817-1669
 Phone: 401-397-7353
 Fax: 401-397-9030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for KENNETH W FRAVALA · (Male)

NPI Number 1093736936
Status Active
Credentials
Entity Individual
Enumeration date 07/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • RI License # 12469
  • RI Medicaid 9007822
  • RI Other BQ409256 RI BLUE CHIP HMO
  • RI Other 0000007822 RI BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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