Individual
KIMBERLY BLAKE GELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2401 E EVESHAM RD STE F, VOORHEES, NJ 08043-9590
(773) 882-7788
(856) 424-7529
Mailing address
PO BOX 95000 CL# 4480, PHILADELPHIA, PA 19195-4480
(973) 873-7000
(973) 873-7035
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00691200
NJ
363LA2200X
Adult Health Nurse Practitioner
26NR18011900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NJ
Enumeration date
12/07/2016
Last updated
02/18/2020
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