Active NPIIndividual provider

Kiley E Fair, AGACNP

Nurse Practitioner, Gerontology in Providence, Rhode Island

NPI Number1841832235
Practice location
593 Eddy St, Providence, RI 02903-4923
Fax
401-444-5493
Last updated
December 13, 2022

Kiley Elizabeth Fair is a Nurse Practitioner, Gerontology based in Providence, RI. Kiley Elizabeth Fair practices in Providence, RI and has the professional credentials of AGACNP. The NPI Number for Kiley Elizabeth Fair is 1841832235 and holds a License No. APRN02024 (RI). The current practice location address for Kiley Elizabeth Fair is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-3565 and via fax at 401-444-5493.

Provider Profile Details

NPI Number
1841832235
Provider Name
Kiley Elizabeth Fair
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Providence, RI 02903-4923
Phone Number
401-444-3565
Fax Number
401-444-5493
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
October 17, 2019
Last Update Date
December 13, 2022
Certification Date
December 13, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-3565
Fax Number
401-444-5493
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
110 Elm St
Providence, RI 02903-4626
City
Providence
State
RI
Zip
02903-4626
Phone Number
401-443-4992
Fax Number
401-537-7241

License Information

License Number (1)
APRN02024
License State (1)
RI
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
APRN02024
License State (2)
RI
Taxonomy (2)
Nurse Practitioner, Acute Care · 363LA2100X
License Number (3)
APRN02024
License State (3)
RI
Taxonomy (3)
Nurse Practitioner, Gerontology · 363LG0600X · 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 Kiley E Fair, AGACNP?

The NPI number of Kiley E Fair, AGACNP is 1841832235. It was assigned on October 17, 2019 and is currently active in the NPPES registry.

What is the specialty of Kiley E Fair, AGACNP?

Kiley E Fair, AGACNP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in RI under license number APRN02024.

Where does Kiley E Fair, AGACNP practice?

The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-3565 (phone) or 401-444-5493 (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 1841832235 directly on the NPPES registry website.

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