Individual
KELLIE JAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1139 BENJAMIN FRANKLIN HWY W, DOUGLASSVILLE, PA 19518
(610) 385-4444
Mailing address
10 EARHART DR, SUCCASUNNA, NJ 07876-1081
(201) 874-5902
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA006162
PA
363A00000X
Physician Assistant
—
PA
Other
Enumeration date
07/12/2022
Last updated
07/15/2022
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