Provider Demographics
NPI:1669823399
Name:KATHRYN FLEMING-IVES LLC
Entity Type:Organization
Organization Name:KATHRYN FLEMING-IVES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEMING-IVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-870-6273
Mailing Address - Street 1:10 JEFFERSON DR
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-2115
Mailing Address - Country:US
Mailing Address - Phone:978-879-6273
Mailing Address - Fax:
Practice Address - Street 1:355 HOPE ST UNIT 1
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906
Practice Address - Country:US
Practice Address - Phone:401-216-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-23
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD131542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty