Individual
DR. KELLY MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4196 US HIGHWAY 1, MONMOUTH JUNCTION, NJ 08852-1904
(732) 329-5221
Mailing address
4196 US HIGHWAY 1, MONMOUTH JUNCTION, NJ 08852-1904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03815100
NJ
Other
Enumeration date
12/25/2020
Last updated
12/25/2020
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