Individual
DR. ROBERT B KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
823 LACEY RD, FORKED RIVER, NJ 08731-1203
(609) 242-2705
(609) 242-2702
Mailing address
PO BOX 659, LANOKA HARBOR, NJ 08734-0659
(609) 242-2705
(609) 242-2702
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
25MB06389400
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
25MB06389400
NJ
Other
Enumeration date
06/14/2007
Last updated
02/02/2009
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