Individual
KATHLEEN JOHANNA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
186 PROVIDENCE ST, WEST WARWICK, RI 02893-2508
(401) 615-2800
Mailing address
186 PROVIDENCE ST, WEST WARWICK, RI 02893-2508
(401) 615-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19478
RI
Other
Enumeration date
04/05/2020
Last updated
08/29/2025
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