Individual
KELLY WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3120 PRINCETON PIKE, LAWRENCEVILLE, NJ 08648-2325
(609) 896-0444
(609) 587-4349
Mailing address
3120 PRINCETON PIKE, LAWRENCEVILLE, NJ 08648-2325
(609) 896-0444
(609) 587-4349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00311600
NJ
Other
Enumeration date
10/31/2013
Last updated
11/05/2013
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