Individual
KIMBREYA ELESE OTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
26 HIGHWAY 35 N, NEPTUNE, NJ 07753-4743
(732) 456-7777
(848) 251-2189
Mailing address
1580 LAKEWOOD RD, SUITE 16, TOMS RIVER, NJ 08755-3287
(732) 456-7777
(848) 251-2189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00678200
NJ
Other
Enumeration date
11/21/2016
Last updated
07/20/2021
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