Individual
KELLY O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
16 WOMANTAM LN, CUMBERLAND, RI 02864-2215
(401) 575-8930
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN57717
RI
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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