Individual
SUSAN C KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7 WEAVER RD, NORTH KINGSTOWN, RI 02852-7135
(401) 667-0905
(401) 667-0590
Mailing address
7 WEAVER RD, NORTH KINGSTOWN, RI 02852-7135
(401) 667-0905
(401) 667-0590
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
DO00604
RI
Other
Enumeration date
06/06/2006
Last updated
07/07/2011
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