Kelly, Kevin George

Kelly, Kevin George is an individual health care provider with primary practice located at 331 North Ave , Wood Ridge NJ 07075-2035. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Kelly, Kevin George can be contacted via phone (201) 939-0409.

Contact Information

Primary practice address
331 North Ave Wood Ridge NJ 07075-2035
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NN10175200 New Jersey

Profile Details

NPI number 1184762627
LBN Legal business name Kelly, Kevin George
Credentials APN, C.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2007
Last updated Aug 13th, 2007 - about 17 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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