Individual
KIMARLEY ANDRE GAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
197 RATZER RD, WAYNE, NJ 07470-5440
(347) 585-4754
(347) 585-4754
Mailing address
197 RATZER RD, WAYNE, NJ 07470-5440
(347) 585-4754
(347) 585-4754
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NJ
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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