Individual
ANJALI KIKKISETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-7059
(856) 641-8000
Mailing address
3811 LOUISE AVE, CHANTILLY, VA 20151-3208
(571) 730-9135
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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