Individual
KELSEY POMEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
932 S MAIN ST, PLEASANTVILLE, NJ 08232-3646
(609) 383-0880
(609) 383-0658
Mailing address
PO BOX 1309, MARLTON, NJ 08053-6309
(609) 567-0200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00451700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0594873
—
NJ
Enumeration date
08/23/2017
Last updated
06/17/2024
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