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Susan C Kelly, D.O.

Dermatology, Dermatopathology in North Kingstown, RI. Individual provider (NPI-1).

NPI number1548200074
StatusActive
Last updated in NPPESJul 7, 2011

Details

NPI
1548200074
Entity type
Individual (NPI-1)
Name
Susan C Kelly
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 6, 2006
Last updated
Jul 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ND0900X Dermatology, DermatopathologyDO00604RIYes

Practice location

7 Weaver Rd
North Kingstown, RI 02852-7135

Phone 401-667-0905 · Fax 401-667-0590

Mailing address

7 Weaver Rd
North Kingstown, RI 02852-7135

Phone 401-667-0905 · Fax 401-667-0590

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