Individual
MISS REBECCA L KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
750 ROUTE 73 S STE 401, MARLTON, NJ 08053-4145
(856) 375-1288
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00897600
NJ
Other
Enumeration date
02/12/2019
Last updated
10/20/2020
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