Individual
MRS. IRENE A KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1 RIVERVIEW PLZ, RED BANK, NJ 07701-1864
(732) 450-2876
(732) 530-2506
Mailing address
26 GULL RD, MIDDLETOWN, NJ 07748-3244
(732) 671-0541
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
26NJ00032900
NJ
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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