Individual
MRS. PHYLLIS D KELLIHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4735
(401) 474-4288
(401) 434-5230
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4735
(401) 456-2000
(401) 434-5230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN00058
RI
Other
Enumeration date
05/13/2013
Last updated
08/02/2024
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