Individual
KELLI SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 HOPE RD, EATONTOWN, NJ 07724-1277
(732) 571-1000
Mailing address
615 HOPE RD 5A, VISITING PHYSICAN SERVICES, EATONTOWN, NJ 07724
(732) 571-1000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00548600
NJ
Other
Enumeration date
02/10/2015
Last updated
02/15/2016
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