Individual
MELISSA A KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
593 EDDY ST, POB ROOM 234, PROVIDENCE, RI 02903-4923
(401) 444-8361
(401) 444-3288
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8361
(401) 444-3288
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC111
MA
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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