NPI 1063480002

Ethan H Kisch, MD

Practitioner Psychiatry Physician Warwick, RI

Practice location

Address: 75 Lambert Lind Hwy 120-100, Warwick, RI 02886-1131
Phone: (401) 681-4274
Fax: (401) 681-4285

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence MD10208 (RI)

Other Psychiatry & Neurology providers in Rhode Island →

Registry record

NPI: 1063480002
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Mar 2006
Record last updated: 12 Jun 2013

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.