Active NPIIndividual providerSole proprietor

Dr. John B Kelly III, MD/PHD

Dermatology in East Greenwich, Rhode Island

NPI Number1043599269
Practice location
1672 S County Trl, East Greenwich, RI 02818-5098
Fax
401-885-6640
Last updated
May 7, 2015

John B Kelly is a Dermatology based in East Greenwich, RI. John B Kelly practices in East Greenwich, RI and has the professional credentials of MD/PHD. The NPI Number for John B Kelly is 1043599269 and holds a License No. MD14907 (RI). The current practice location address for John B Kelly is 1672 S County Trl, East Greenwich, RI 02818-5098 and can be reached out via phone at 401-885-7546 and via fax at 401-885-6640.

Provider Profile Details

NPI Number
1043599269
Provider Name
John B Kelly
Credential
MD/PHD
Provider Entity Type
Individual
Gender
Male
Address
1672 S County Trl, East Greenwich, RI 02818-5098
Phone Number
401-885-7546
Fax Number
401-885-6640
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 4, 2011
Last Update Date
May 7, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1672 S County Trl
East Greenwich, RI 02818-5098
Zip
02818-5098
Phone Number
401-885-7546
Fax Number
401-885-6640
East Greenwich, RI 02818Get directions →

Provider Business Mailing Address Details

Address
1672 S County Trl
East Greenwich, RI 02818-5098
City
East Greenwich
State
RI
Zip
02818-5098
Phone Number
401-885-7546
Fax Number
401-885-6640

License Information

License Number (1)
MD14907
License State (1)
RI
Taxonomy (1)
Dermatology · 207N00000X · Primary
License Number (2)
MD14907
License State (2)
RI
Taxonomy (2)
Dermatology, Procedural Dermatology · 207NS0135X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John B Kelly III, MD/PHD?

The NPI number of Dr. John B Kelly III, MD/PHD is 1043599269. It was assigned on August 4, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. John B Kelly III, MD/PHD?

Dr. John B Kelly III, MD/PHD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in RI under license number MD14907.

Where does Dr. John B Kelly III, MD/PHD practice?

The practice location is 1672 S County Trl, East Greenwich, RI 02818-5098. The office can be reached at 401-885-7546 (phone) or 401-885-6640 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043599269 directly on the NPPES registry website.

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