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Individual

DR. KELLY KEARNS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
101 EISENHOWER PKWY STE 300, ROSELAND, NJ 07068-1054
(630) 673-7914
(973) 677-4253
Mailing address
2456 HORSESHOE DR, EAST STROUDSBURG, PA 18301-8122
(630) 673-7914
(973) 677-4253

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
101-A438
NJ
103G00000X
Clinical Neuropsychologist
Primary
35SI00484400
NJ

Other

Enumeration date
07/23/2010
Last updated
12/01/2022
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