Nurse Practitioner, Gerontology
KILEY FAIR AGACNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1841832235 · enumerated 2019-10-17 · record updated 2022-12-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 110 ELM ST, PROVIDENCE, RI, 02903-4626 (401) 443-4992 Fax (401) 537-7241 Google Maps Apple Maps OpenStreetMap
- Practice location 593 EDDY ST, PROVIDENCE, RI, 02903-4923 (401) 444-3565 Fax (401) 444-5493 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · License APRN02024 RI
- Nurse Practitioner, Acute Care 363LA2100X · License APRN02024 RI
- Nurse Practitioner, Gerontology 363LG0600X · Primary · License APRN02024 RI
In this directory
RI Providence County Providence Nurse Practitioner, Gerontology
Locations and evidence
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Practice location
PROVIDENCE, RI, 029034923
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.