Individual
ALLISON KENNEALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-4020
Mailing address
40 BROOKS ST, CRANSTON, RI 02920-3908
(401) 714-6456
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN55256
RI
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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