Provider Demographics
NPI:1871218594
Name:KAZI, CAROLINE EMMANUEL
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:EMMANUEL
Last Name:KAZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 ROCCO AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-5804
Mailing Address - Country:US
Mailing Address - Phone:401-489-1833
Mailing Address - Fax:
Practice Address - Street 1:26 ROCCO AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-5804
Practice Address - Country:US
Practice Address - Phone:401-489-1833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)