| 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 (17 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) |
| 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 | |||||||||||||||||||
|
|||||||||||||||||||||||
| 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
