Active NPIIndividual provider

Kelly M Willman, MD

Surgery, Trauma Surgery in Atlantic City, New Jersey

NPI Number1013177153
Practice location
1925 Pacific Ave, Trauma Department, Atlantic City, NJ 08401-6713
Fax
609-441-8178
Last updated
March 28, 2014

Kelly Marie Willman is a Surgery, Trauma Surgery based in Atlantic City, NJ. Kelly Marie Willman practices in Atlantic City, NJ and has the professional credentials of MD. The NPI Number for Kelly Marie Willman is 1013177153 and holds a License No. 25MA09130300 (NJ). The current practice location address for Kelly Marie Willman is 1925 Pacific Ave, Trauma Department, Atlantic City, NJ 08401-6713 and can be reached out via phone at 609-441-8023 and via fax at 609-441-8178.

Provider Profile Details

NPI Number
1013177153
Provider Name
Kelly Marie Willman
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1925 Pacific Ave, Trauma Department, Atlantic City, NJ 08401-6713
Phone Number
609-441-8023
Fax Number
609-441-8178
Primary Taxonomy
Surgery, Trauma Surgery · 2086S0127X
Sole Proprietor
No
Provider Enumeration Date
June 12, 2008
Last Update Date
March 28, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1925 Pacific Ave
Trauma Department
Atlantic City, NJ 08401-6713
Zip
08401-6713
Phone Number
609-441-8023
Fax Number
609-441-8178
Atlantic City, NJ 08401Get directions →

Provider Business Mailing Address Details

Address
1925 Pacific Ave
Trauma Department
Atlantic City, NJ 08401-6713
City
Atlantic City
State
NJ
Zip
08401-6713
Phone Number
609-441-8023
Fax Number
609-441-8178

License Information

License Number
25MA09130300
License State
NJ
Taxonomy
Surgery, Trauma Surgery · 2086S0127X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly M Willman, MD?

The NPI number of Kelly M Willman, MD is 1013177153. It was assigned on June 12, 2008 and is currently active in the NPPES registry.

What is the specialty of Kelly M Willman, MD?

Kelly M Willman, MD is registered under the primary taxonomy Surgery, Trauma Surgery (code 2086S0127X), licensed in NJ under license number 25MA09130300.

Where does Kelly M Willman, MD practice?

The practice location is 1925 Pacific Ave, Trauma Department, Atlantic City, NJ 08401-6713. The office can be reached at 609-441-8023 (phone) or 609-441-8178 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013177153 directly on the NPPES registry website.

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