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Contact Information

KELVIN N DOAN, PA-C
164 SUMMIT AVE # C70
PROVIDENCE, RI02906-2853
 Phone: 401-793-4545
 Fax: 401-793-7866
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KELVIN N DOAN · (Male)

NPI Number 1356691430
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/14/2012
Last updated 01/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • RI License # PA00654
Hospital affiliation(s)
  • MIRIAM HOSPITAL - (Acute Care)
    164 SUMMIT AVENUE
    PROVIDENCE, RI 02906
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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