Individual
KELLY VICTORIA KRICKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
487 E MOORESTOWN RD, WIND GAP, PA 18091-9662
(484) 526-7850
Mailing address
329 DRAKESTOWN RD, LONG VALLEY, NJ 07853-3836
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060191
PA
Other
Enumeration date
09/28/2018
Last updated
08/22/2024
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