Individual
KAITLIN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
845 N MAIN ST, PROVIDENCE, RI 02904-5700
(401) 648-7172
Mailing address
105 WASHINGTON ST APT 403, BRIGHTON, MA 02135-4377
(401) 855-5923
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN03091
RI
Other
Enumeration date
05/16/2022
Last updated
11/14/2024
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