Individual
KAITLIN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1086 TEANECK RD, STE. 4A, TEANECK, NJ 07666-4854
(201) 862-9900
Mailing address
1086 TEANECK RD, STE. 4A, TEANECK, NJ 07666-4854
(201) 862-9900
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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