Organization
MEDICAL GROUP OF RHODE ISLAND,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUANN M KELLY NP (NURSE PRACTITIONER)
(401) 467-6257
Entity
Organization
Contact information
Practice address
37 WASHINGTON ST, WEST WARWICK, RI 02893-4927
(401) 821-4707
(401) 821-8270
Mailing address
76 VERDANT DR, CRANSTON, RI 02920-1043
(401) 828-5624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPP37282
LICENSE NUMBER
RI
Enumeration date
11/01/2006
Last updated
03/07/2023
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