Kids Klub, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KIDS KLUB, INC.

Practice address

462 Smithfield Ave
Pawtucket, RI 02860-2552

Phone

(401) 723-2277

Fax

(401) 475-4832

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Raymond Smith, MBA, RN

Title

Cfo

Phone

(401) 723-2277

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437212024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 SMITHFIELD AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602552",
            "telephone_number": "401-723-2277",
            "fax_number": "401-475-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 SMITHFIELD AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602552",
            "telephone_number": "401-723-2277",
            "fax_number": "401-475-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS KLUB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "401-723-2277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Kershaw
• Noubar Kessimian, MD
• Hargun Khanna, DPT
• Nguyen Khuu, MS
• Eglantina Kica, D.M.D.
• Anne F Kiernan, OD
• Effien King, FNP
• Malaysia Tinez King, LCSW
• Sarah Kinnane, MSW
• Kathleen Kirchmeier-Kroessler, MD

• Specialist in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.