Individual
MISS KIMBERLY E STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2020 E CHESTNUT AVE, VINELAND, NJ 08361-8432
(856) 563-1600
Mailing address
807 N NEW ST, CLAYTON, NJ 08312-1202
(856) 449-1087
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00914600
NJ
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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