Individual
KELLI J KRUZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 PUTNAM PIKE, SMITHFIELD, RI 02917-2408
(401) 757-6160
(401) 349-0840
Mailing address
400 PUTNAM PIKE, SMITHFIELD, RI 02917-2408
(401) 757-6160
(401) 349-0840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016451
NY
363A00000X
Physician Assistant
Primary
PA00911
RI
Other
Enumeration date
04/18/2013
Last updated
12/21/2016
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