Individual
KELLSEY CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
475 KILVERT ST, WARWICK, RI 02886-1379
(401) 737-6900
Mailing address
9 BUTTERWORTH DR, SOMERSET, MA 02726-4745
(339) 788-7590
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN01900
RI
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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