Individual
LUANN M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
37 WASHINGTON STREET, WEST WARWICK, RI 02893
(401) 821-4707
Mailing address
1050 WARWICK AVE, WARWICK, RI 02888-3660
(401) 467-6257
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
MK1366764
RI
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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