Individual
KERRY GALLAGHER DYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 COOPER PLZ # D356, CAMDEN, NJ 08103-1461
(856) 342-2174
(569) 688-3888
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN595514
PA
363L00000X
Nurse Practitioner
Primary
26NJ00704000
NJ
363LG0600X
Gerontology Nurse Practitioner
SP014453
PA
Other
Enumeration date
10/29/2014
Last updated
11/21/2024
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