Kevin E. Baill MD & Associates, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

12179 Issued in RI

Legal business name

KEVIN E. BAILL MD & ASSOCIATES, LLC

Practice address

345 Blackstone Blvd
Providence, RI 02906-4800

Phone

(917) 447-2138

NPI assigned

Jan 24, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin Elliot Baill, MD

Title

President

Phone

(917) 447-2138

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1003239286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BLACKSTONE BLVD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064800",
            "telephone_number": "917-447-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 BLACKSTONE BLVD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064800",
            "telephone_number": "917-447-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN E. BAILL MD & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "BAILL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-447-2138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "RI",
            "license": "12179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4939170",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Keszler, M.D.
• Pavinarmatha Ketheeswaran, MD
• Yvonne Antoinette Kettels
• Elizabeth Pressly Kettyle, CNM
• Kevin E Baill, MD and Associates, LLC
• Kevin S. Palumbo, MD, Inc.
• Allan Kevorkian, RN
• Key Program, Inc.
• Keystone Family Acupuncture, Inc.
• Fatima Khadar, NP

• Clinic/Center in Providence, RI
• Providers in Providence, RI by specialty
• Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.