Kelly Van Sickell, ACUPUNCTURIST
NPI #1114126133 in Tinton Falls, New Jersey
Provider Information
- NPI Number
- 1114126133
- Entity Type
- Individual
- Name
- Kelly Van Sickell, ACUPUNCTURIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Acupuncturist
- Credential
- ACUPUNCTURIST
- Enumeration Date
- Jul 11, 2007
- Last Updated
- Sep 25, 2015
Practice Location
- Address
- 656 SHREWSBURY AVE
- Address 2
- SUITE 103
- City
- Tinton Falls
- State
- New Jersey
- ZIP Code
- 07701-4964
- Phone
- (732) 842-4198
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
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