| Kenneth J. Hathaway Do, Inc | |
|
360 Kingstown Rd Suite 101 Narragansett RI 02882-3239 | |
| (401) 783-3334 | |
| (401) 783-9270 |
| Full Name | Kenneth J. Hathaway Do, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 360 Kingstown Rd, Narragansett, Rhode Island |
| Authorized Official Name and Position | Kenneth J Hathaway (OWNER) |
| Authorized Official Contact | 4017833334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J. Hathaway Do, Inc 360 Kingstown Rd Suite 101 Narragansett RI 02882-3239 Ph: (401) 783-3334 | Kenneth J. Hathaway Do, Inc 360 Kingstown Rd Suite 101 Narragansett RI 02882-3239 Ph: (401) 783-3334 |
| NPI Number | 1841458395 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841458395 | NPI | - | NPPES |
| 3623-2 | Other | RI | BLUE CROSS BLUE SHIELD OF RI |
| 9003623 | Medicaid | RI | |
| 3623 | Other | RI | FEDERAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO278 (Rhode Island) | Primary |
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