Individual
MS. KELLY A GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5034 ATLANTIC AVE, MAYS LANDING, NJ 08330-2022
(609) 782-0005
Mailing address
6395 PITTSBURGH AVE, MAYS LANDING, NJ 08330-1064
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP04313500
NJ
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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