Individual
MRS. LEA RENE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
33 STANIFORD ST, PROVIDENCE, RI 02905-3105
(401) 421-8800
Mailing address
33 STANIFORD ST, PROVIDENCE, RI 02905-3105
(401) 421-8800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN01693
RI
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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