Individual
KELLY ANN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1000 BROAD ST, CENTRAL FALLS, RI 02863-1507
(401) 722-0081
(401) 312-0318
Mailing address
39 EAST AVE, PAWTUCKET, RI 02860-4003
(401) 722-0081
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN284843
MA
363LF0000X
Family Nurse Practitioner
Primary
APRN01556
RI
363LF0000X
Family Nurse Practitioner
F0716119
MA
390200000X
Student in an Organized Health Care Education/Training Program
RN284843
MA
Other
Enumeration date
02/05/2016
Last updated
07/21/2022
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