KENNETH CUSHING BOTELHO PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1184977514- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 450 VETERANS MEMORIAL PKWY BLDG 9, EAST PROVIDENCE, RI, 029145300
- Phone
- (401) 435-5533
- Fax
- (401) 435-3586
Specialties & Taxonomies
Physician Assistant
License: MN #15285
Physician Assistant
Primary License: RI #PA00716