Individual
KRISTIN MELISSA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600
Mailing address
26 BOSKO DR, EAST BRUNSWICK, NJ 08816-4542
(732) 253-3895
(732) 253-3572
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
26NJ00153700
NJ
363L00000X
Nurse Practitioner
Primary
26NJ00153700
NJ
Other
Enumeration date
06/16/2008
Last updated
07/21/2022
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