Kids Klub, Inc. is a Specialist in Pawtucket, Rhode Island. Kids Klub, Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kids Klub, Inc. is 1437212024. The last update date is 2020-08-22.
Kids Klub, Inc.'s current location address is 462 Smithfield Ave, Pawtucket, Rhode Island. You can contact this provider via phone number 4017232277 and fax number 4014754832. The mailing address for Kids Klub, Inc. is 462 Smithfield Ave, Pawtucket, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kids Klub, Inc. |
|---|---|
| Address | 462 Smithfield Ave, Pawtucket, Rhode Island |
| Phone Number | 4017232277 |
| Fax Number | 4014754832 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Smith Raymond Ronald |
| Credentials | MBA, RN |
| Telephone Number | 4017232277 |
NPI Number Detail
| NPI Number | 1437212024 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 462 Smithfield Ave |
|---|---|
| City | Pawtucket |
| State | Rhode Island (RI) |
| Post Code | 28602552 |
| Phone Number | 4017232277 |
| Fax Number | 4014754832 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Kids Klub, Inc.?
The Kids Klub, Inc. has been issued the NPI (National Provider Identifier) 1437212024 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kids Klub, Inc.'s physical address?
The Kids Klub, Inc. is physically located at 462 Smithfield Ave, in the city of Pawtucket, RI, with the postal code 28602552.
What is the Kids Klub, Inc.'s area of specialization and corresponding taxonomy classification?
The Kids Klub, Inc.'s specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Kids Klub, Inc. receive the assignment of its 1437212024 from the Centers for Medicare & Medicaid Services?
The Kids Klub, Inc. was issued its 1437212024 by the Centers for Medicare & Medicaid Services on 2006-12-18.
When was the information related to Kids Klub, Inc. most recently updated or refreshed?
The details pertaining to the Kids Klub, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
NPI Number: 1396748448
Address: 100 Metropolitan Drive Associated Medical Professionals, Liverpool, NY
NPI Number: 1952304982
Address: 310 Lafayette Ave Se Ste 410, Grand Rapids, MI
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI