Individual
DR. KELSEY NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
651 WILLOW GROVE ST, HACKETTSTOWN, NJ 07840-1799
(908) 852-5100
Mailing address
3 CENTURY DR, PARSIPPANY, NJ 07054-4610
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB12242400
NJ
Other
Enumeration date
03/29/2021
Last updated
08/17/2024
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