SUSAN C KELLY (NPI# 1548200074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548200074 |
| Entity Type | Individual |
| Full Name | SUSAN C KELLY |
| Credential | D.O. |
| Practice Address |
7 Weaver Rd North Kingstown RI 02852-7135 |
| Practice Telephone | 4016670905 |
| Practice Fax Number | 4016670590 |
| Mailing Telephone | 4016670905 |
| Mailing Fax Number | 4016670590 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2011-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
DO00604 | RI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023658168 | Susan Schack Kelly | Psychologist | 8609 Germantown Ave # 2f, Philadelphia, PA 19118-2863 | 2020-01-07 |
| 1992265003 | Susan Elizabeth Kelly | Nurse Practitioner | 239 Clifford Price Loop, Mooresburg, TN 37811-2337 | 2019-03-24 |
| 1770956617 | Susan Dale Kelly | Social Worker | 524 Brighton Ave, Spring Lake, NJ 07762-1561 | 2015-10-31 |
| 1356773097 | Susan J. Kelly | Social Worker | 31 Ownly Ave, West Haven, CT 06516-1245 | 2013-08-05 |
| 1992046007 | Susan Kelly | Nurse Practitioner | 3001 S Lincoln Ave Ste A, Steamboat Springs, CO 80487-1790 | 2013-03-14 |
| 1063708758 | Susan Fay Kelly | Social Worker | 100 So. Highland, Ossining, NY 10562 | 2011-06-22 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
| 1043386246 | Susan Kelly | Social Worker | 42 Wendell Avenue, Pittsfield, MA 01201 | 2006-11-28 |
| 1669566139 | Susan S Kelly | Physical Therapist | 1340 Lake Blvd., Davis, CA 95616 | 2006-10-02 |
| 1679114581 | Susan M Kelly | Pediatrics | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2019-10-01 |
| Street Address |
7 WEAVER RD |
| City | NORTH KINGSTOWN |
| State | RI |
| Zip Code | 02852-7135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851573760 | Sue Kelly Dermatology, LLC | Dermatology | 7 Weaver Rd, North Kingstown, RI 02852-7135 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037059 | Rhode Island Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4255 Quaker Lane, North Kingstown, RI 02852 | 2020-06-15 |
| 1588216543 | Stop Look & Listen LLC | Counselor | 917 Ten Rod Rd, 917 Ten Rod Rd., North Kingstown, RI 02852 | 2019-07-10 |
| 1841856358 | Carlos Albert Saraiva | Pharmacist | 113 Frenchtown Road, North Kingstown, RI 02852 | 2019-05-10 |
| 1184143851 | Jessica Topitzer | Nurse Practitioner | 426f Scrabbletown Rd., N. Kingstown, RI 02852 | 2017-09-14 |
| 1275074940 | Amanda Kathryn Lennon | Social Worker | 2 Ripple Lane, North Kingstown, RI 02852 | 2017-03-15 |
| 1164975728 | Charlotte Elizabeth Bigg | Dentist | 145 Phillips St, North Kingstown, RI 02852 | 2016-08-01 |
| 1043603913 | Pamela Morelli | Social Worker | 426 Scrabbletown Rd., North Kingstown, RI 02852 | 2015-03-16 |
| 1942691845 | Catherine Cooney | Counselor | 1130 Ten Rod Rd, Ste E305, North Kingstown, RI 02852 | 2015-02-12 |
| 1154753168 | Kenneth N Beaupre | Counselor | 23 Brown St Ste 107, North Kingstown, RI 02852 | 2013-07-31 |
| 1154613909 | Kimberly Micucci | Counselor | 1950 Tower Hill Road, Acute Stabilization Unit, North Kingstown, RI 02852 | 2011-05-12 |
| Find all providers in zip 02852 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851573760 | Sue Kelly Dermatology, LLC | Dermatology | 7 Weaver Rd, North Kingstown, RI 02852-7135 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437318607 | Amylynne J Frankel | Dermatology | 1524 Atwood Ave Ste 321, Johnston, RI 02919-3228 | 2008-06-03 |
| City | NORTH KINGSTOWN |
| Zip Code | 02852 |
Please comment or provide details below to improve the information on SUSAN C KELLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.