Individual
KELLY EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
499 BECKETT RD STE 202, SWEDESBORO, NJ 08085-1771
(856) 325-3760
Mailing address
PO BOX 22581, NEW YORK, NY 10087-2581
(610) 482-4795
(856) 528-3117
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00574000
NJ
Other
Enumeration date
01/20/2017
Last updated
08/28/2024
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