- Practice location
- 4 Bypass RD Ste 104, Salem, NJ 08079-2053
- Phone
- 610-619-7460
- Fax
- —
- Last updated
- July 1, 2026
Kelly Wyatt is an Internal Medicine based in Salem, NJ. Kelly Wyatt practices in Salem, NJ. The NPI Number for Kelly Wyatt is 1033756044 and holds a License No. 26NJ00996800 (NJ). The current practice location address for Kelly Wyatt is 4 Bypass RD Ste 104, Salem, NJ 08079-2053 and can be reached out via phone at 610-619-7460.
Provider Profile Details
- NPI Number
- 1033756044
- Provider Name
- Kelly Wyatt
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4 Bypass RD Ste 104, Salem, NJ 08079-2053
- Phone Number
- 610-619-7460
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 9, 2019
- Last Update Date
- July 1, 2026
- Certification Date
- July 1, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4 Bypass RD Ste 104
Salem, NJ 08079-2053 - City
- Salem
- State
- New Jersey
- Zip
- 08079-2053
- Phone Number
- 610-619-7460
Provider Business Mailing Address Details
- Address
- 333 Hickory Ave
Aston, PA 19014-1100 - City
- Aston
- State
- PA
- Zip
- 19014-1100
- Phone Number
- 610-306-1509
License Information
- License Number (1)
- 26NJ00996800
- License State (1)
- NJ
- Taxonomy (1)
- Internal Medicine, Pulmonary Disease · 207RP1001X
- License Number (2)
- SP024697
- License State (2)
- PA
- Taxonomy (2)
- Nurse Practitioner, Acute Care · 363LA2100X
- License Number (3)
- 26NJ00996800
- License State (3)
- NJ
- Taxonomy (3)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Salem, NJ
View all Internal Medicine providers in Salem →Frequently Asked Questions
What is the NPI number of Kelly Wyatt?
The NPI number of Kelly Wyatt is 1033756044. It was assigned on December 9, 2019 and is currently active in the NPPES registry.
What is the specialty of Kelly Wyatt?
Kelly Wyatt is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 26NJ00996800.
Where does Kelly Wyatt practice?
The practice location is 4 Bypass RD Ste 104, Salem, NJ 08079-2053. The office can be reached at 610-619-7460 (phone).
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 1033756044 directly on the NPPES registry website.