Kelly Dallas, PA-C
NPI #1497091193 in Moorestown, New Jersey
Provider Information
- NPI Number
- 1497091193
- Entity Type
- Individual
- Name
- Kelly Dallas, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Dec 27, 2012
- Last Updated
- Feb 23, 2015
Practice Location
- Address
- 401 YOUNG AVE
- Address 2
- SUITE 245
- City
- Moorestown
- State
- New Jersey
- ZIP Code
- 08057-3130
- Phone
- (609) 267-9400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
| Physician Assistant - Surgical — Surgical |
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