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SUE KELLY DERMATOLOGY LLC

Company Details

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
Purpose: DERMATOLOGIST
Principal Address: Google Maps Logo 7 WEAVERS ROAD, NORTH KINGSTOWN, RI, 02852, USA

Industry & Business Activity

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

Agent

Name Role Address
DETWILER & ASSOCIATES Agent 747 AQUIDNECK AVENUE SUITE 2E, MIDDLETOWN, RI, 02842, USA

National Provider Identifier

NPI Number:
1851573760

Authorized Person:

Name:
DR. SUSAN CHRISTINE KELLY
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207ND0900X - Dermatopathology Physician
Is Primary:
Yes

Contacts:

Fax:
4016670590

Filings

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

Date of last update: 28 May 2025

Sources: Rhode Island Department of State