Individual
KELLY FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 EDDY STREET, PROVIDENCE, RI 02905
(401) 533-9100
Mailing address
400 NEW RIVER ROAD, UNIT 608, MANVILLE, RI 02838
(401) 523-4347
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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