Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH CUSHING BOTELHO, PA-C
ActiveKENNETH CUSHING BOTELHO, PA-C is a Physician Assistant healthcare provider located in EAST PROVIDENCE, Rhode Island. NPI 1184977514 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EAST PROVIDENCE, RI
Registration Details
- NPI Number
- 1184977514
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2012 (13.770860794992 yrs)
- Last Updated
- May 16, 2025
- Licenses
-
15285 (MN)PA00716 (RI)
Practice Information
- Address
-
450 VETERANS MEMORIAL PKWY BLDG 9EAST PROVIDENCE, RI, 029145300Browse RI providers · Browse ZIP 02914
- Phone
- 4014355533
- Fax
- 4014353586
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in EAST PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| ERIN L SHARAF | PA | 1003863051 |
| SCOTT F SULLIVAN | PA | 1477592988 |
| TOBY FINGEROTH WEISER | PA-C | 1093814931 |
| STEVEN A OCCHIUTI | PA | 1184723520 |
| MS. KATIE MARIE BENEDETTI | PA-C | 1912281213 |
| MR. ANDREW FRANCIS MOODY | PA-C | 1720426646 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.