Individual
KYRA ALICIA POPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 COOPER PLZ, CAMDEN, NJ 08103-1461
(855) 632-2667
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR20250100
NJ
363L00000X
Nurse Practitioner
Primary
26NJ14879400
NJ
Other
Enumeration date
03/02/2023
Last updated
11/29/2023
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