Individual
DR. JOHN B KELLY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
1672 S COUNTY TRL, EAST GREENWICH, RI 02818-5098
(401) 885-7546
(401) 885-6640
Mailing address
1672 S COUNTY TRL, EAST GREENWICH, RI 02818-5098
(401) 885-7546
(401) 885-6640
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD14907
RI
207NS0135X
Procedural Dermatology Physician
MD14907
RI
Other
Enumeration date
08/04/2011
Last updated
05/07/2015
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