Individual
KELLY VAN SICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACUPUNCTURIST
Contact information
Practice address
656 SHREWSBURY AVE, SUITE 103, TINTON FALLS, NJ 07701-4964
(732) 842-4198
(732) 842-4112
Mailing address
656 SHREWSBURY AVE, SUITE 103, TINTON FALLS, NJ 07701-4964
(732) 842-4198
(732) 842-4112
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00006000
NJ
Other
Enumeration date
07/11/2007
Last updated
09/25/2015
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