Individual
KIRSTEN L WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 DELSEA DR STE B, SEWELL, NJ 08080-9478
(856) 302-0500
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(856) 302-0500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00662600
NJ
Other
Enumeration date
11/10/2021
Last updated
03/08/2023
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