| Doctor Name: | KELLY MARIE WILLMAN |
| NPI Number: | 1013177153 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 25MA09130300 |
| Business Practice Address: | 1925 Pacific Ave Trauma Department Atlantic City, NJ - 084016713 |
| Business Phone Number: | 6094418023 |
| Business Fax Number: | 6094418178 |
| Mailing Address: | 1925 Pacific Ave, Trauma Department ATLANTIC CITY |
| State: | NJ |
| Postal Code: | 084016713 |
| Phone Number: | 6094418023 |
| Fax Number: | 6094418178 |
| NPI Enumeration Date: | 06/12/2008 |
| NPI Last Update Date: | 03/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0127X |
| License Number: | 25MA09130300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Trauma Surgery |
| Taxonomy Definition: | Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |