Active NPIIndividual providerSole proprietor

Katelyn K Johnson

Urology in Wakefield, Rhode Island

NPI Number1881183325
Practice location
70 Kenyon Ave Ste 210, Wakefield, RI 02879-4253
Fax
401-788-8787
Last updated
June 8, 2023

Katelyn Kane Johnson is an Urology based in Wakefield, RI. Katelyn Kane Johnson practices in Wakefield, RI. The NPI Number for Katelyn Kane Johnson is 1881183325 and holds a License No. MD19358 (RI). The current practice location address for Katelyn Kane Johnson is 70 Kenyon Ave Ste 210, Wakefield, RI 02879-4253 and can be reached out via phone at 401-788-8780 and via fax at 401-788-8787.

Provider Profile Details

NPI Number
1881183325
Provider Name
Katelyn Kane Johnson
Provider Entity Type
Individual
Gender
Female
Address
70 Kenyon Ave Ste 210, Wakefield, RI 02879-4253
Phone Number
401-788-8780
Fax Number
401-788-8787
Primary Taxonomy
Urology · 208800000X
Sole Proprietor
Yes
Other Names
Katelyn Elizabeth Kane (Former Name)
Provider Enumeration Date
May 9, 2018
Last Update Date
June 8, 2023
Certification Date
June 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Kenyon Ave Ste 210
Wakefield, RI 02879-4253
Zip
02879-4253
Phone Number
401-788-8780
Fax Number
401-788-8787
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
20 York St
New Haven, CT 06510-3202
City
New Haven
State
CT
Zip
06510-3202
Phone Number
203-688-4242

License Information

License Number (2)
MD19358
License State (2)
RI
Taxonomy (2)
Urology · 208800000X · 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 Katelyn K Johnson?

The NPI number of Katelyn K Johnson is 1881183325. It was assigned on May 9, 2018 and is currently active in the NPPES registry.

What is the specialty of Katelyn K Johnson?

Katelyn K Johnson is registered under the primary taxonomy Urology (code 208800000X), licensed in RI under license number MD19358.

Where does Katelyn K Johnson practice?

The practice location is 70 Kenyon Ave Ste 210, Wakefield, RI 02879-4253. The office can be reached at 401-788-8780 (phone) or 401-788-8787 (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 1881183325 directly on the NPPES registry website.

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