Individual
KYLIE NOELLE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
19 DAVIS AVE FL 4, NEPTUNE CITY, NJ 07753-4488
(732) 974-0003
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00862200
NJ
Other
Enumeration date
07/02/2024
Last updated
08/08/2024
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