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Individual

SCOTT KELLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
839 ROUTE 130 NORTH, EAST WINDSOR, NJ 08520
(609) 443-6484
Mailing address
839 ROUTE 130 NORTH, EAST WINDSOR, NJ 08520-2907
(609) 443-6484
(609) 443-6492

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00104400
NJ
156FX1800X
Optician
31TD00104400

Other

Enumeration date
06/19/2023
Last updated
06/19/2023
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