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Individual

AMANDA NICOLE KILGALLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP, APRN

Contact information

Practice address
65 VILLAGE SQUARE DR STE 302, SOUTH KINGSTOWN, RI 02879-2569
(401) 785-0040
Mailing address
108 NEW LONDON TPKE STE 1, NORWICH, CT 06360-2645

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
15148
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN05002
RI

Other

Enumeration date
07/30/2025
Last updated
02/10/2026
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