Individual
DR. MARK DAMIEN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 TEN ROD RD, THE MEADOWS BUILDING D, STE 103, NORTH KINGSTOWN, RI 02852-4179
(401) 295-4409
(401) 295-1209
Mailing address
1130 TEN ROD RD, STE D103, NORTH KINGSTOWN, RI 02852-4179
(401) 295-4409
(401) 295-1209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9072
RI
Other
Enumeration date
05/12/2006
Last updated
03/05/2008
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