Individual
RYAN PATRICK KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
203 MAIN ST, WAKEFIELD, RI 02879-3557
(401) 307-2555
(401) 783-0045
Mailing address
57 KAY ST, NEWPORT, RI 02840-2724
(401) 439-5132
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH05793
RI
Other
Enumeration date
05/13/2018
Last updated
05/13/2018
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