Active NPIIndividual provider

Kenneth M Paulhus Jr., PA-C

Physician Assistant in Providence, Rhode Island

NPI Number1447919139
Practice location
593 Eddy St, Providence, RI 02903-4923
Fax
—
Last updated
February 7, 2022

Kenneth Mark Paulhus is a Physician Assistant based in Providence, RI. Kenneth Mark Paulhus practices in Providence, RI and has the professional credentials of PA-C. The NPI Number for Kenneth Mark Paulhus is 1447919139. The current practice location address for Kenneth Mark Paulhus is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-4000.

Provider Profile Details

NPI Number
1447919139
Provider Name
Kenneth Mark Paulhus
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
593 Eddy St, Providence, RI 02903-4923
Phone Number
401-444-4000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 10, 2021
Last Update Date
February 7, 2022
Certification Date
February 7, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-4000
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
18 Orchard St
Blackstone, MA 01504-1209
City
Blackstone
State
MA
Zip
01504-1209
Phone Number
774-210-2204

License Information

Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenneth M Paulhus Jr., PA-C?

The NPI number of Kenneth M Paulhus Jr., PA-C is 1447919139. It was assigned on December 10, 2021 and is currently active in the NPPES registry.

What is the specialty of Kenneth M Paulhus Jr., PA-C?

Kenneth M Paulhus Jr., PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Kenneth M Paulhus Jr., PA-C practice?

The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-4000 (phone).

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 1447919139 directly on the NPPES registry website.

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