Individual
MS. KELLY L SHARKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1300 BLACK HORSE PIKE, GLENDORA, NJ 08029-1308
(856) 939-2828
(856) 939-5057
Mailing address
188 FRIES MILL RD STE N3, TURNERSVILLE, NJ 08012-2055
(856) 875-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00149700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021784MT3
—
NJ
Enumeration date
02/05/2008
Last updated
02/11/2020
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