Individual
KELLY E. THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 VANDON LOOP, BERLIN, NJ 08009-9744
(856) 264-5542
Mailing address
415 SICKLERVILLE RD UNIT 144, SICKLERVILLE, NJ 08081-8006
(856) 264-5542
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
07/08/2022
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