Individual
KELSEY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 652-1000
Mailing address
213 CHAMPION WAY, SEWELL, NJ 08080-1646
(856) 304-0927
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01165000
NJ
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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