Kenneth C Botelho, PA-C
Physician Assistant in East Providence, Rhode Island
1184977514- Practice location
- 450 Veterans Memorial Pkwy Bldg 9, East Providence, RI 02914-5300
- Phone
- 401-435-5533
- Fax
- 401-435-3586
- Last updated
- May 16, 2025
Kenneth Cushing Botelho is a Physician Assistant based in East Providence, RI. Kenneth Cushing Botelho practices in East Providence, RI and has the professional credentials of PA-C. The NPI Number for Kenneth Cushing Botelho is 1184977514 and holds a License No. 15285 (MN). The current practice location address for Kenneth Cushing Botelho is 450 Veterans Memorial Pkwy Bldg 9, East Providence, RI 02914-5300 and can be reached out via phone at 401-435-5533 and via fax at 401-435-3586.
Provider Profile Details
- NPI Number
- 1184977514
- Provider Name
- Kenneth Cushing Botelho
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 450 Veterans Memorial Pkwy Bldg 9, East Providence, RI 02914-5300
- Phone Number
- 401-435-5533
- Fax Number
- 401-435-3586
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 23, 2012
- Last Update Date
- May 16, 2025
- Certification Date
- May 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 450 Veterans Memorial Pkwy Bldg 9
East Providence, RI 02914-5300 - City
- East Providence
- State
- Rhode Island
- Zip
- 02914-5300
- Phone Number
- 401-435-5533
- Fax Number
- 401-435-3586
Provider Business Mailing Address Details
- Address
- 450 Veterans Memorial Pkwy Bldg 9
East Providence, RI 02914-5300 - City
- East Providence
- State
- RI
- Zip
- 02914-5300
- Phone Number
- 401-435-5533
- Fax Number
- 401-435-3586
License Information
- License Number (1)
- 15285
- License State (1)
- MN
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA00716
- License State (2)
- RI
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near East Providence, RI
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Frequently Asked Questions
What is the NPI number of Kenneth C Botelho, PA-C?
The NPI number of Kenneth C Botelho, PA-C is 1184977514. It was assigned on October 23, 2012 and is currently active in the NPPES registry.
What is the specialty of Kenneth C Botelho, PA-C?
Kenneth C Botelho, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MN under license number 15285.
Where does Kenneth C Botelho, PA-C practice?
The practice location is 450 Veterans Memorial Pkwy Bldg 9, East Providence, RI 02914-5300. The office can be reached at 401-435-5533 (phone) or 401-435-3586 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184977514 directly on the NPPES registry website.