Individual
MRS. MEGAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
77 W HANOVER AVE, MORRIS PLAINS, NJ 07950-2110
(973) 539-9165
Mailing address
77 W HANOVER AVE, MORRIS PLAINS, NJ 07950-2110
(973) 539-9165
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TR00313300
NJ
Other
Enumeration date
05/29/2013
Last updated
08/08/2023
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