Individual
KAITLYN TALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 COOPER PLZ BLDG FL3, CAMDEN, NJ 08103-1461
(856) 342-3159
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00745600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2022
Last updated
06/22/2023
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