NPI 1760642011 · live from the CMS NPI Registry
Kristopher Daley, M.D.
Radiology, Vascular & Interventional Radiology in Providence, RI. National Provider Identifier 1760642011, active.
NPI record
| NPI | 1760642011 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Vascular & Interventional Radiology 2085R0204X |
| Practice location | 593 Eddy St, Providence, RI 02903 |
| Practice phone | 401-444-5184 |
| Mailing address | 20 Catamore Blvd, East Providence, RI 02914 |
| Enumerated | June 11, 2008 |
| Last updated | June 20, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 236538 (MA) |
| Radiology, Diagnostic Radiology | 2085R0202X | MD13341 (RI) |
| Radiology, Vascular & Interventional Radiology primary | 2085R0204X | 13441 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.