Kelly Wyatt

NPI #1033756044 in Salem, New Jersey

Provider Information

NPI Number: 1033756044
Entity Type: Individual
Name: Kelly Wyatt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Dec 9, 2019
Last Updated: Sep 7, 2021

Practice Location

Address: 4 BYPASS RD STE 104
City: Salem
State: New Jersey
ZIP Code: 08079-2053
Phone: (610) 619-7460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Internal Medicine	207R00000X	Primary

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