Individual
KAILYNN SAMANTHA SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
165 S BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-1559
(856) 516-4700
Mailing address
165 S BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-1559
(856) 546-4700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15040600
NJ
Other
Enumeration date
04/03/2024
Last updated
12/13/2024
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