Kevin George Kelly APN, C.

NPI 1184762627 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1184762627
Gender Male
Enumeration Date 02/04/2007
Last Updated 08/13/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
331 NORTH AVE
WOOD RIDGE NJ, 07075-2035, US
Phone (201) 939-0409
Fax
Business Location
331 NORTH AVE
WOOD RIDGE NJ, 07075-2035, US
Phone (201) 939-0409
Fax
Toxanomy
Taxonomy Code 363L00000X
License State New Jersey
License Number 26NN10175200
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According to our database, Mr. Kevin George Kelly APN, C. NPI is 1184762627, taxonomy code is 363L00000X and license number is 26NN10175200, license state is located at New Jersey. Kevin George Kelly APN, C. physically located at 331 North Ave, Wood Ridge NJ, 07075-2035. NPI Number Kevin George Kelly APN, C. has the Individual type.

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1184762627 NPI number is provided on an as is basis without warranty of any kind. 1184762627 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin George Kelly APN, C. are for informational purposes only.