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Contact Information

KILEY E FAIR, AGACNP
593 EDDY ST
PROVIDENCE, RI02903-4923
 Phone: 401-444-3565
 Fax: 401-444-5493
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KILEY E FAIR · (Female)

NPI # 1841832235
Status Active
Credentials AGACNP
Entity Individual
Enumeration date 10/17/2019
Last updated 12/13/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • RI License # APRN02024
Hospital affiliation(s)
  • KENT COUNTY MEMORIAL HOSPITAL - (Acute Care)
    455 TOLL GATE RD
    WARWICK, RI 02886
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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