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Individual

MR. VERNON L KELLEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
261 CONNECTICUT DR, BURLINGTON, NJ 08016-4177
(856) 364-8116
Mailing address
PO BOX 418, MILLVILLE, NJ 08332-0418
(856) 364-8116

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05983000
NJ

Other

Enumeration date
12/21/2007
Last updated
12/21/2007
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