Dr. John B Kelly III
Dermatologist Procedural Dermatology
1672 S County Trl
East Greenwich
, Rhode Island 02818-5098
Dr. John B Kelly III
Dermatologist Procedural Dermatology
1672 S County Trl
East Greenwich
, Rhode Island 02818-5098
(401) 885-6640
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About
Features
Specialties
- Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. John B Kelly III
- 1672 S County Trl
- East Greenwich, RI
- Zip : 02818-5098
- Fax : (401) 885-6640
- Phone : (401) 885-7546
Second Address
- Dr. John B Kelly III
- 1672 S County Trl
- East Greenwich, RI
- Zip : 02818-5098
- Fax : (401) 885-6640
- Phone : (401) 885-7546
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | MD14907 | RI |
| N | 207NS0135X | Procedural Dermatology | MD14907 | RI |
National Provider Identifier
| NPI | 1043599269 |
|---|---|
| Provider Name | Dr. John B Kelly III |
| First Address | East Greenwich, RI 02818-5098 |
| Second Address | East Greenwich, RI 02818-5098 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2011 |
| Last Update Date | 07/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.