Mcmahon, Kellie
Mcmahon, Kellie is an individual health care provider with primary practice located at 1970 Pawtucket Ave , East Providence RI 02914-1718. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mcmahon, Kellie can be contacted via phone (401) 438-1166.Contact Information
Primary practice address
1970 Pawtucket Ave
East Providence RI 02914-1718
Phone: (401) 438-1166
Fax: (401) 438-1614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5116 | Massachusetts |
Profile Details
| NPI number | 1114303625 |
|---|---|
| LBN Legal business name | Mcmahon, Kellie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2015 |
| Last updated | Sep 8th, 2026 - about last month |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114303625 | NPPES |
| Rhode Island | MEDICAID | 1114303625 |
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