Kasper, Kellie Ann
Kasper, Kellie Ann is an sole proprietor health care provider with primary practice located at 403 Bethel Rd , Somers Point NJ 08244-2108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kasper, Kellie Ann can be contacted via phone (609) 927-8746.Contact Information
Primary practice address
403 Bethel Rd
Somers Point NJ 08244-2108
Phone: (609) 927-8746
Fax: (609) 653-8807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1245857721 |
|---|---|
| LBN Legal business name | Kasper, Kellie Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2020 |
| Last updated | Aug 20th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245857721 | NPPES |
| New Jersey | Other | 25MP00566600 | NJ MEDICAL LICENSE |
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