Individual
KELCY A JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
700 MULLICA HILL RD, MULLICA HILL, NJ 08062-4413
(509) 949-5178
Mailing address
3001 WILLOW ST UNIT 1, YAKIMA, WA 98902-1790
(509) 949-5718
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
05/20/2021
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