Individual
JAMIE A KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
595 SHREWSBURY AVE STE 103, SHREWSBURY, NJ 07702-4159
(732) 741-5923
(732) 741-2759
Mailing address
276 CRANBERRY RD, FARMINGDALE, NJ 07727-3508
(732) 995-9405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00721800
NJ
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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