KAITLIN HATHAWAY ELLIS

PROVIDENCE, RI
NPI1821675307
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: RI  LP05444)
Enumeration Date2021-03-29
Last Update Date2021-06-30
Business Address
KAITLIN HATHAWAY ELLIS MD
101 DUDLEY ST
PROVIDENCE, RI 02905-2401
Phone number: 401-227-3669
Mailing Address
KAITLIN HATHAWAY ELLIS MD
11 JOHN ST
PROVIDENCE, RI 02906-1007
Phone number: 203-247-9139
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