Kathryn K Banner in Bristol - Internal Medicine

Kathryn K Banner - NPI 1417094061

Kathryn K Banner is a Internal Medicine in Bristol, Rhode Island. Kathryn K Banner practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kathryn K Banner is 1417094061. The last update date is 2010-12-20.

Kathryn K Banner's current location address is 1180 Hope St, Bristol, Rhode Island. You can contact this provider via phone number 4012470610 and fax number 4012533131. The mailing address for Kathryn K Banner is 1180 Hope St, Bristol, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathryn K Banner
Address 1180 Hope St, Bristol, Rhode Island
Phone Number 4012470610
Fax Number 4012533131
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1417094061
Provider Enumeration Date 2007-01-31
Last Updated Date 2010-12-20

Provider Mailing Address Detail

Address 1180 Hope St
City Bristol
State Rhode Island (RI)
Post Code 28091126
Phone Number 4012470610
Fax Number 4012533131

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD12307
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32535 RI NEIGHBORHOOD HEALTH PLAN
32662 RI B/S
1417094 RI --
414090 RI BCHIP
AA89360 RI HARVARD PILGRIM
50340866 RI UHC

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FAQs about Kathryn K Banner

What is the unique 10-digit identification code assigned to Kathryn K Banner by the Centers for Medicare & Medicaid Services?

The Kathryn K Banner has been issued the NPI (National Provider Identifier) 1417094061, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Kathryn K Banner's physical address?

The Kathryn K Banner is physically located at 1180 Hope St, in the city of Bristol, RI, with the postal code 28091126.

What is Kathryn K Banner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kathryn K Banner is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.

On what date did the Kathryn K Banner receive the assignment of its 1417094061 from the Centers for Medicare & Medicaid Services?

The Kathryn K Banner was issued its 1417094061 by the Centers for Medicare & Medicaid Services on 2007-01-31.

When was the information pertaining to Kathryn K Banner most recently updated or revised?

The details related to Kathryn K Banner, including its address, specialty, and other relevant information, were last updated or revised on 2010-12-20.

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