SUE KELLY DERMATOLOGY, LLC


Address: 7 Weaver Rd, North Kingstown, RI 02852-7135
Phone: 4016670905

SUE KELLY DERMATOLOGY, LLC (NPI# 1851573760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851573760
Entity Type Organization
Organization Name SUE KELLY DERMATOLOGY, LLC
Practice Address 7 Weaver Rd
North Kingstown
RI 02852-7135
Practice Telephone 4016670905
Mailing Telephone 4016670905
Mailing Fax Number 4016670590
Enumeration Date 2007-12-03
Last Update Date 2011-07-07
Authorized Official Name DR. SUSAN CHRISTINE KELLY (PHYSICIAN)
Authorized Official Telephone 4016670905
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0900X Dermatology
Specialization: Dermatopathology
DO00604 RI Allopathic & Osteopathic Physicians

Office Location

Street Address 7 WEAVER RD
City NORTH KINGSTOWN
State RI
Zip Code 02852-7135

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548200074 Susan C Kelly Dermatology 7 Weaver Rd, North Kingstown, RI 02852-7135 2006-06-06

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1275074940 Amanda Kathryn Lennon Social Worker 2 Ripple Lane, North Kingstown, RI 02852 2017-03-15
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Taxonomy Information

Taxonomy Code 207ND0900X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Dermatopathology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548200074 Susan C Kelly Dermatology 7 Weaver Rd, North Kingstown, RI 02852-7135 2006-06-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437318607 Amylynne J Frankel Dermatology 1524 Atwood Ave Ste 321, Johnston, RI 02919-3228 2008-06-03

Competitor

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City NORTH KINGSTOWN
Zip Code 02852

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Dataset Information

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.

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