Provider Demographics
NPI:1275882409
Name:SLINEY, KATHRYN ELIZABETH (MPAS, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:ELIZABETH
Last Name:SLINEY
Suffix:
Gender:F
Credentials:MPAS, PA-C
Other - Prefix:MS
Other - First Name:KATHRYN
Other - Middle Name:ELIZABETH
Other - Last Name:SEITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPAS, PA-C
Mailing Address - Street 1:3461 SOUTH COUNTY TRAIL
Mailing Address - Street 2:SUITE 202
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818
Mailing Address - Country:US
Mailing Address - Phone:401-471-3376
Mailing Address - Fax:401-471-6865
Practice Address - Street 1:3461 SOUTH COUNTY TRAIL
Practice Address - Street 2:SUITE 202
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818
Practice Address - Country:US
Practice Address - Phone:401-471-3376
Practice Address - Fax:401-471-6865
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1805363A00000X
RIPA00711363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIPA00711OtherRHODE ISLAND BOARD OF MEDICAL LICENSURE
SC1805OtherSOUTH CAROLINA BOARD OF MEDICAL EXAMINERS
SC1805OtherSOUTH CAROLINA BOARD OF MEDICAL EXAMINERS