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Carrie L. Kelly

NPI 1568545630ActiveIndividual· Pediatrics, Developmental - Behavioral Pediatrics· Providence, RI

Pediatrics, Developmental - Behavioral Pediatrics in Providence, Rhode Island, licensed in RI, with an NPI issued in October 2006. Enrolled in Medicare as practitioner - pediatric medicine and practitioner - pediatric medicine.

Overview

NPI1568545630
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedOct 23, 2006
Last updated in NPPESMar 18, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics, Developmental - Behavioral Pediatrics Primary2080P0006XMD11506RI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Pediatric Medicine (MA); Practitioner - Pediatric Medicine (RI)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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