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KELLIE RENEE ATLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
520 N WOOD AVE, LINDEN, NJ 07036-4147
(908) 587-9300
(908) 587-1901
Mailing address
520 N WOOD AVE, LINDEN, NJ 07036-4147
(908) 587-9300
(908) 587-1901

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00338600
NJ
363L00000X
Nurse Practitioner
RN312613
OH

Other

Enumeration date
01/19/2010
Last updated
01/23/2020
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