Individual
MS. KELLI VISCO PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
141 ROUTE 70 E STE E, MARLTON, NJ 08053-1855
(856) 985-7373
(856) 985-9611
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00002300
NJ
363AM0700X
Medical Physician Assistant
25MP00002300
NJ
363AM0700X
Medical Physician Assistant
Primary
MP000023
NJ
Other
Enumeration date
10/19/2005
Last updated
05/04/2026
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