Individual
RYAN O'KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-1122
Mailing address
200 CROSSINGS BLVD STE 310, WARWICK, RI 02886-2872
(401) 777-7000
(401) 459-4010
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA01154
RI
Other
Enumeration date
06/11/2019
Last updated
02/17/2022
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