Individual
DR. STEVENS ERIC KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 DIVISION ST, PAWTUCKET, RI 02860-5352
(401) 727-4800
(401) 921-6924
Mailing address
455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20033
RI
Other
Enumeration date
04/14/2021
Last updated
10/11/2024
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