Individual
LAUREN MICHELLE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1145 MAIN ST, PAWTUCKET, RI 02860-7825
(401) 722-0081
(612) 230-9412
Mailing address
1145 MAIN ST, PAWTUCKET, RI 02860-7825
(401) 722-0081
(401) 312-0318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01440
RI
Other
Enumeration date
03/02/2022
Last updated
04/13/2026
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