Individual
KYLIE JO ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
47 RIDGEDALE AVE APT 1, MORRISTOWN, NJ 07960-8643
(608) 306-2497
Mailing address
47 RIDGEDALE AVE APT 1, MORRISTOWN, NJ 07960-8643
(608) 306-2497
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00839300
NJ
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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