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

Kiley Elizabeth Fair, AGACNP

Individual provider Nurse Practitioner · NPI 1841832235

Kiley Elizabeth Fair, AGACNP is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2018, 8 years ago. Practices with Affinity Physicians LLC, a 734-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
8
Licensed in
RI
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-3565
Fax: (401) 444-5493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 455 Toll Gate Rd, Warwick, RI 02886-2759 — (401) 737-7000

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN02024 (RI)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN02024 (RI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APRN02024 (RI)

Record details

NPI number1841832235
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedOctober 17, 2019
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Affinity Physicians Llc. — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence