Hawley, Kelly C

Hawley, Kelly C is an individual health care provider with primary practice located at 315 State Route 31 S , Washington NJ 07882-4069. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Hawley, Kelly C can be contacted via phone (908) 689-0777.

Contact Information

Primary practice address
315 State Route 31 S Washington NJ 07882-4069
Phone: (908) 689-0777
Fax: (908) 835-3037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X NN84769 New Jersey

Profile Details

NPI number 1770573123
LBN Legal business name Hawley, Kelly C
Credentials MSN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Sep 10th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770573123 NPPES
New Jersey Other P00645982 RAILROAD MEDICARE
New Jersey MEDICAID 7891504 RAILROAD MEDICARE

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