Individual provider · Type 1 NPI

Keith B. Sunderlin, PAC

Physician Assistant · Providence, RI

NPI number 1093707655 Active

Practice location

593 Eddy St, Apc 4
Providence, RI 02903-4923

Call (401) 444-4000 Map

Fax (401) 444-6681

Mailing address

PO Box 16149
Rumford, RI 02916-0697

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X102283 (NC)
Physician Assistant Primary 363A00000XPA00417 (RI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093707655

Keith B. Sunderlin, PAC's National Provider Identifier is 1093707655, issued on Aug 19, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Providence, RI. The record was last updated on Oct 22, 2010.