Individual
MISS KELLY CORRELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1075 STEPHENSON AVE.- FORT MONMOUTH, EATONTOWN, NJ 07703
(732) 532-4277
Mailing address
1075 STEPHENSON AVE., EATONTOWN, NJ 07703
(732) 532-4277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO089960
NJ
Other
Enumeration date
11/09/2005
Last updated
07/08/2007
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