| NPI | 1104572361 |
|---|---|
| Doing Business As | VIBRANT HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM KELLY Medical Director 732-708-6501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-02-26 |
| Last Update Date | 2022-02-26 |