Individual
KELLY HARCHUT KOHLSCHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
219 N WHITE HORSE PIKE STE 104, HAMMONTON, NJ 08037-1800
(609) 833-9833
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00420000
NJ
363A00000X
Physician Assistant
Primary
MA058728
PA
Other
Enumeration date
11/06/2016
Last updated
11/06/2023
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