Individual
SANDRA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
823 MAIN ST, HOPE VALLEY, RI 02832-1920
(401) 539-2461
(401) 753-6348
Mailing address
823 MAIN ST, HOPE VALLEY, RI 02832-1920
(401) 539-2461
(401) 753-6348
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
001044
CT
363AM0700X
Medical Physician Assistant
Primary
PA00811
RI
Other
Enumeration date
05/07/2007
Last updated
02/03/2016
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