MIRANDA KELLY

NEWARK, DE
NPI1609553262
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: DE  C5-0012155)
Enumeration Date2023-07-05
Last Update Date2024-10-04
Business Address
MIRANDA KELLY
4755 OGLETOWN STANTON ROAD SUITE 5A43
NEWARK, DE 19718-2200
Phone number: 302-623-0188
Mailing Address
MIRANDA KELLY
16 CHASE RD
LUMBERTON, NJ 08048-6200
Phone number: 609-668-4097
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