Healthcare Provider Details

I. General information

NPI: 1134063084
Provider Name (Legal Business Name): RACHAEL LEIGH DUGAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHAEL LEIGH KELLY RN

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 VALLEY RD
MIDDLETOWN RI
02842-5234
US

IV. Provider business mailing address

42 VALLEY RD
MIDDLETOWN RI
02842-6400
US

V. Phone/Fax

Practice location:
  • Phone: 401-846-1213
  • Fax: 404-848-9151
Mailing address:
  • Phone: 401-846-1213
  • Fax: 404-848-9151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN38588
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2258770
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: