Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly McDonough, DO

Individual provider Emergency Medicine Physician · NPI 1578859872

Kelly McDonough, DO is an Emergency Medicine in Providence, Rhode Island. Graduated from University of New England, College of Osteo Medicine in 2011, 15 years ago. Practices with Coastal Medical Associates, a 446-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
15
Trained at
University of New England, College of Osteo Medicine
Licensed in
MA, RI
In the registry since
2011
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

101 Dudley St
Providence, RI 02905-2401
Phone: (401) 274-1122
Fax: (401) 453-7597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 258025 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence LP02223 (RI)

Record details

NPI number1578859872
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 24, 2011
Last updated in NPPESNovember 11, 2020
Certification dateNovember 11, 2020
Mailing address101 Dudley St, Pho Office, Providence, RI 02905-2401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2011 (15 years in practice)
Group practice Coastal Medical Associates — 446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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