Doctor Name: | CYNTHIA JEAN KELLEY |
NPI Number: | 1023131554 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | LM-0000101 |
Business Practice Address: | 44 Holly Ln Pilesgrove, NJ - 080982414 |
Business Phone Number: | 8567691591 |
Business Fax Number: | |
Mailing Address: | 44 Holly Ln, PILESGROVE |
State: | NJ |
Postal Code: | 080982414 |
Phone Number: | 8567691591 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LN0000X |
License Number: | LM-0000101 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Neonatal |
Taxonomy Definition: |