Kenneth B Jaeger


Address: 305 S Main St, Suite C, Providence, RI 02903-7133
Phone: 4014214340

Kenneth B Jaeger (NPI# 1730281007, PAC ID# 6103923990) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1730281007
PAC ID by PECOS 6103923990
Professional Enrollment ID I20190228002336
Full Name Kenneth B Jaeger
Address 305 S Main St
Suite C
Providence
RI 02903-7133
Phone Number 4014214340
Gender M
Graduation Year 2003
Primary Specialty CLINICAL SOCIAL WORKER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
305 S Main St, Suite C, Providence, RI 02903-7133 4014214340

Organization Information

Office Location

Street Address 305 S MAIN ST
SUITE C
City PROVIDENCE
State RI
Zip 02903-7133

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Competitor

Search similar physicians

City PROVIDENCE
Zip Code 02903
Specialty CLINICAL SOCIAL WORKER
City + Specialty PROVIDENCE + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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