| Name: | SUE KELLY DERMATOLOGY LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 12 Sep 2007 (18 years ago) |
| Identification Number: | 000229079 |
| ZIP code: | 02852 |
| County: | Washington County |
| Principal Address: | 7 WEAVERS ROAD, NORTH KINGSTOWN, RI, 02852, USA |
| Purpose: | DERMATOLOGIST |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851573760 | 2007-12-03 | 2011-07-07 | 7 WEAVER RD, NORTH KINGSTOWN, RI, 028527135, US | 7 WEAVER RD, NORTH KINGSTOWN, RI, 028527135, US | |||||||||||||||||||
|
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| Phone | +1 401-667-0905 |
| Fax | 4016670590 |
Authorized person
| Name | DR. SUSAN CHRISTINE KELLY |
| Role | PHYSICIAN |
| Phone | 4016670905 |
Taxonomy
| Taxonomy Code | 207ND0900X - Dermatopathology Physician |
| License Number | DO00604 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DETWILER & ASSOCIATES | Agent | 747 AQUIDNECK AVENUE SUITE 2E, MIDDLETOWN, RI, 02842, USA |
| Number | Name | File Date |
|---|---|---|
| 202444791140 | Annual Report | 2024-01-26 |
| 202326702420 | Annual Report | 2023-01-26 |
| 202208809890 | Annual Report | 2022-01-28 |
| 202101466280 | Annual Report | 2021-09-14 |
| 202061578030 | Annual Report | 2020-10-06 |
| 201918697940 | Annual Report | 2019-09-10 |
| 201879938810 | Annual Report | 2018-10-23 |
| 201751725460 | Annual Report | 2017-10-17 |
| 201610716200 | Annual Report | 2016-10-21 |
| 201581859870 | Annual Report | 2015-10-07 |
Date of last update: 11 Oct 2024
Sources: Rhode Island Department of State
