Individual
KELLY SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
301 STATE AVE, TIVERTON, RI 02878-1062
(774) 300-3444
(774) 307-9039
Mailing address
308 EASTVIEW AVE, SOMERSET, MA 02726-4800
(508) 244-9731
(774) 307-9039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN03727
RI
363LF0000X
Family Nurse Practitioner
RN2325826
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN05129
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2325826
MA
Other
Enumeration date
08/09/2023
Last updated
04/07/2026
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