Individual
DR. KELLY FITZGERALD COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 WARREN AVE STE 200, EAST PROVIDENCE, RI 02914-1430
(401) 421-6481
(401) 751-8734
Mailing address
10 DAVOL SQ STE 400, PROVIDENCE, RI 02903-4760
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD17068
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD17068
LICENSE
RI
Enumeration date
03/25/2017
Last updated
04/09/2024
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