KELLY WYATT

SALEM, NJ
NPI1033756044
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  26NJ00996800)
Additional Taxonomies207RP1001X Internal Medicine, Pulmonary Disease
(Licence: NJ  26NJ00996800)
Enumeration Date2019-12-09
Last Update Date2021-09-07
Business Address
KELLY WYATT
4 BYPASS RD STE 104
SALEM, NJ 08079-2053
Phone number: 610-619-7460
Mailing Address
KELLY WYATT
333 HICKORY AVE
ASTON, PA 19014-1100
Phone number: 610-306-1509