Individual
DR. MICHAEL STEPHEN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7000
Mailing address
1000 MONTAUK HWY, DEPARTMENT OF EMERGENCY MEDICINE, WEST ISLIP, NY 11795-4927
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
243253
NY
207P00000X
Emergency Medicine Physician
Primary
DO00642
RI
Other
Enumeration date
05/21/2008
Last updated
12/17/2021
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