Individual
KELLY WEST FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 DAVIS AVE FL 2, NEPTUNE, NJ 07753-4488
(732) 367-1535
(732) 367-9514
Mailing address
19 DAVIS AVE FL 2, NEPTUNE, NJ 07753-4488
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
25MA11262800
NJ
207RH0003X
Hematology & Oncology Physician
MD037410
DC
207RX0202X
Medical Oncology Physician
Primary
25MA11262800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2008
Last updated
01/26/2022
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