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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IAN PAUL KROUSON, PA

Active

Medical Physician Assistant · PROVIDENCE, RI

Registration Details

NPI Number
1790744381
Provider Type
Individual
Gender
Male
NPI Issued
Mar 22, 2006 (20.08279808896 yrs)
Last Updated
Sep 16, 2019
License
00398 (RI)

Practice Information

Address
1195 N MAIN ST
PROVIDENCE, RI, 029041824
Browse RI providers · Browse ZIP 02904
Phone
4018613782
Fax
4013835846
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in PROVIDENCE, RI

Name Credential NPI
PATRICIA A TRAFFORD P.A.C. 1518962034
SANDRA M JAMIESON PA 1528065430
JOSEPH J DIBERNARDO PA-C 1497721419
RICHARD A. HERNANDEZ PA-C 1457328221
PAMELA M BRISSETTE PA-C 1972570182
MR. PHATHSADY LOUANGXAY P.A. 1174586671
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.