Individual
KELLY A SEVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
151 GREENTREE RD STE B, MARLTON, NJ 08053-9416
(856) 702-6700
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(856) 872-7055
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00246200
NJ
Other
Enumeration date
10/15/2010
Last updated
02/14/2024
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