NPI 1285691576 · live from the CMS NPI Registry
Kenneth M Segal, D.P.M.
Podiatrist in Providence, RI. National Provider Identifier 1285691576, active.
NPI record
| NPI | 1285691576 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 677 Hope St, Providence, RI 02906 |
| Practice phone | 401-421-7466 |
| Enumerated | April 28, 2006 |
| Last updated | November 2, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | DPM00193 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.