KEVIN W BOOG

PROVIDENCE, RI
NPI1306160023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: RI  RNA36713)
Enumeration Date2010-03-24
Last Update Date2022-12-22
Business Address
KEVIN W BOOG CRNA
593 EDDY STREET DAVOL 129
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4933
Mailing Address
KEVIN W BOOG CRNA
ONE VIRGINIA AVENUE SUITE 201
PROVIDENCE, RI 02905
Phone number: 401-490-0916
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