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Organization

SUE KELLY DERMATOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSAN CHRISTINE KELLY D.O. (PHYSICIAN)
(401) 667-0905
Entity
Organization

Contact information

Practice address
7 WEAVER RD, NORTH KINGSTOWN, RI 02852-7135
(401) 667-0905
Mailing address
7 WEAVER RD, NORTH KINGSTOWN, RI 02852-7135
(401) 667-0905
(401) 667-0590

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
DO00604
RI

Other

Enumeration date
12/03/2007
Last updated
07/07/2011
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