Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DCP00584 | RI |
NPI | 1003047713 |
---|---|
Provider Name | Dr. Kiara Marie Capaldi |
First Address | Pawtucket, RI 02860-3474 |
Second Address | Pawtucket, RI 02860-3474 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2009 |
Last Update Date | 25/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001218402 | PTN NUMBER (01) | RI |