Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith B Sunderlin, PAC

Individual provider Physician Assistant · NPI 1093707655

Keith B Sunderlin, PAC is a Physician Assistant in Providence, Rhode Island. Licensed in North Carolina and Rhode Island. Registered with an NPI since 2005.

Licensed in
NC, RI
In the registry since
2005
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

593 Eddy St Apc 4
Providence, RI 02903-4923
Phone: (401) 444-4000
Fax: (401) 444-6681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00417 (RI)
Physician Assistant Taxonomy 363A00000X · Licence 102283 (NC)

Record details

NPI number1093707655
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 19, 2005
Last updated in NPPESOctober 22, 2010
Mailing addressPo Box 16149, Rumford, RI 02916-0697

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