Kelly, Lisa-Ann

Kelly, Lisa-Ann is an individual health care provider with primary practice located at 150 Hinchman Ave , Wayne NJ 07470-2360. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kelly, Lisa-Ann can be contacted via phone (973) 595-6996.

Contact Information

Primary practice address
150 Hinchman Ave Wayne NJ 07470-2360
Phone: (973) 595-6996
Fax: (973) 595-6706
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 26NN09168300 New Jersey

Profile Details

NPI number 1235537580
LBN Legal business name Kelly, Lisa-Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2014
Last updated Dec 18th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235537580 NPPES
New Jersey MEDICAID 7671008

Popular Providers