Individual
KELLY THYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, RNFA
Contact information
Practice address
310 MADISON AVENUE, SUITE 200, MORRISTOWN, NJ 07960
(973) 285-7800
Mailing address
310 MADISON AVENUE, SUITE 200, MORRISTOWN, NJ 07960
(973) 285-7800
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
26NJ00116300
NJ
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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