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Kevin Djatcha

NPI 1790521425 · on the registry since 2024

Practice

Address
825 Chalkstone Ave
Providence, RI 02908
Phone
(401) 456-2000
Organisation at this address
Roger Williams Hospital
Roger Williams Hospital
Roger Williams Hospital
Roger Williams Hospital
Roger Williams Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
249

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
367500000X
163W00000X
Licence states on file
RI, NH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island