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Individual

KELLY BAXTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
55 CHERRY LN, WAKEFIELD, RI 02879-3617
(401) 400-5535
Mailing address
55 CHERRY LN, WAKEFIELD, RI 02879-3617
(401) 400-5535

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN00271
RI
363LF0000X
Family Nurse Practitioner
APRN00271
RI
363LF0000X
Family Nurse Practitioner
NPP37541
RI

Other

Enumeration date
02/04/2010
Last updated
10/21/2020
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