Provider Demographics
NPI:1508900630
Name:KELLY, ERIN K (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:K
Last Name:KELLY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:CHILDREN'S HOSPITAL OF EASTERN ONTARIO
Mailing Address - Street 2:401 SMYTHE ROAD
Mailing Address - City:OTTAWA
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:K1H 8L1
Mailing Address - Country:CA
Mailing Address - Phone:613-737-7600
Mailing Address - Fax:
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:ALDRICH BUILDING
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-8461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2012-06-26
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Provider Licenses
StateLicense IDTaxonomies
RI15089006302084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry