Kelly Zale Stevenson PA

NPI 1780913194 - Physician Assistant - 363A00000X

NPI Details
NPI 1780913194
Gender Female
Enumeration Date 12/14/2009
Last Updated 01/09/2012
Entity Type Individual
Active Over 6 years ago
Practice Location
18 E LAUREL RD
STRATFORD NJ, 08084-1327, US
Phone (856) 686-4306
Fax
Business Location
307 S EVERGREEN AVE
WOODBURY NJ, 08096-2739, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New Jersey
License Number 25MP00227100
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According to our database, Kelly Zale Stevenson PA NPI is 1780913194, taxonomy code is 363A00000X and license number is 25MP00227100, license state is located at New Jersey. Kelly Zale Stevenson PA physically located at 18 E Laurel Rd, Stratford NJ, 08084-1327. NPI Number Kelly Zale Stevenson PA has the Individual type.

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1780913194 NPI number is provided on an as is basis without warranty of any kind. 1780913194 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Zale Stevenson PA are for informational purposes only.