Individual
KELLY MARGARET O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 BAY VIEW AVE, RIVERSIDE, RI 02915-4955
(401) 529-8884
Mailing address
133 STONE AVE, WARWICK, RI 02889-8625
(401) 252-1223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60197
RI
163WH0200X
Home Health Registered Nurse
RN60197
RI
Other
Enumeration date
06/19/2020
Last updated
09/27/2024
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