Gelder, Kimberly Blake

Gelder, Kimberly Blake is an sole proprietor health care provider with primary practice located at 2401 E Evesham Rd Ste F , Voorhees NJ 08043-9590. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gelder, Kimberly Blake can be contacted via phone (773) 882-7788.

Contact Information

Primary practice address
2401 E Evesham Rd Ste F Voorhees NJ 08043-9590
Phone: (773) 882-7788
Fax: (856) 424-7529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NR18011900 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00691200 New Jersey

Profile Details

NPI number 1578007746
LBN Legal business name Gelder, Kimberly Blake
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2016
Last updated Feb 18th, 2020 - about 6 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 1578007746 NPPES
New Jersey MEDICAID PENDING

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