NPI 1437212024
Kids Klub, INC.
Practice location
- Address
- 462 Smithfield Ave, Pawtucket, RI 02860-2552
- Phone
- (401) 723-2277
- Fax
- (401) 475-4832
Authorised official
- Name
- Ronald Raymond Smith
- Title
- Cfo
- Phone
- (401) 723-2277
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1437212024
- Entity type
- Organization
- NPI issued
- 18 Dec 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.