Dr. Stevens E Kelly, MD
Family Medicine in Pawtucket, Rhode Island
1790366565- Practice location
- 21 Division St, Pawtucket, RI 02860-5352
- Phone
- 401-727-4800
- Fax
- 401-921-6924
- Last updated
- October 11, 2024
Stevens Eric Kelly is a Family Medicine based in Pawtucket, RI. Stevens Eric Kelly practices in Pawtucket, RI and has the professional credentials of MD. The NPI Number for Stevens Eric Kelly is 1790366565 and holds a License No. MD20033 (RI). The current practice location address for Stevens Eric Kelly is 21 Division St, Pawtucket, RI 02860-5352 and can be reached out via phone at 401-727-4800 and via fax at 401-921-6924.
Provider Profile Details
- NPI Number
- 1790366565
- Provider Name
- Stevens Eric Kelly
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 21 Division St, Pawtucket, RI 02860-5352
- Phone Number
- 401-727-4800
- Fax Number
- 401-921-6924
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 14, 2021
- Last Update Date
- October 11, 2024
- Certification Date
- October 11, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Division St
Pawtucket, RI 02860-5352 - City
- Pawtucket
- State
- Rhode Island
- Zip
- 02860-5352
- Phone Number
- 401-727-4800
- Fax Number
- 401-921-6924
Provider Business Mailing Address Details
- Address
- 455 Toll Gate RD
Prc And Credentialing
Warwick, RI 02886-2759 - City
- Warwick
- State
- RI
- Zip
- 02886-2759
- Phone Number
- 401-273-0641
- Fax Number
- 401-273-2919
License Information
- License Number
- MD20033
- License State
- RI
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Stevens E Kelly, MD?
The NPI number of Dr. Stevens E Kelly, MD is 1790366565. It was assigned on April 14, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Stevens E Kelly, MD?
Dr. Stevens E Kelly, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number MD20033.
Where does Dr. Stevens E Kelly, MD practice?
The practice location is 21 Division St, Pawtucket, RI 02860-5352. The office can be reached at 401-727-4800 (phone) or 401-921-6924 (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 1790366565 directly on the NPPES registry website.