Individual
DR. KELLY FITZGERALD COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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