Individual
KELLEY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
853 MILL CREEK RD, MANAHAWKIN, NJ 08050-4562
(609) 756-4667
(302) 224-2848
Mailing address
PO BOX 3012, WILMINGTON, DE 19804-0012
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00139800
NJ
Other
Enumeration date
11/09/2007
Last updated
10/02/2024
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