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Individual

MCKENSIE LYNN WAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
131 ROUTE 70 STE 100A, MEDFORD, NJ 08055-9501
(856) 673-3960
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MT218594
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25MA11715700
NJ

Other

Enumeration date
06/18/2019
Last updated
03/20/2026
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