Individual
KELSEY ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
376 LAFAYETTE RD, SPARTA, NJ 07871-3560
(908) 852-7770
Mailing address
80 HIGHLAND WAY, DOVER, NJ 07801
(412) 805-3295
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00591600
NJ
363AM0700X
Medical Physician Assistant
25MP00591600
NJ
Other
Enumeration date
11/18/2020
Last updated
02/20/2024
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