Active NPIIndividual provider

Kelly Z Stevenson, PA

Physician Assistant in Stratford, New Jersey

NPI Number1780913194
Practice location
18 E Laurel RD, Stratford, NJ 08084-1327
Fax
—
Last updated
January 9, 2012

Kelly Zale Stevenson is a Physician Assistant based in Stratford, NJ. Kelly Zale Stevenson practices in Stratford, NJ and has the professional credentials of PA. The NPI Number for Kelly Zale Stevenson is 1780913194 and holds a License No. 25MP00227100 (NJ). The current practice location address for Kelly Zale Stevenson is 18 E Laurel RD, Stratford, NJ 08084-1327 and can be reached out via phone at 856-686-4306.

Provider Profile Details

NPI Number
1780913194
Provider Name
Kelly Zale Stevenson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
18 E Laurel RD, Stratford, NJ 08084-1327
Phone Number
856-686-4306
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
-- Kelly Zale, PA (Former Name)
Provider Enumeration Date
December 14, 2009
Last Update Date
January 9, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 E Laurel RD
Stratford, NJ 08084-1327
Zip
08084-1327
Phone Number
856-686-4306
Stratford, NJ 08084Get directions →

Provider Business Mailing Address Details

Address
307 S Evergreen Ave
Woodbury, NJ 08096-2739
City
Woodbury
State
NJ
Zip
08096-2739

License Information

License Number
25MP00227100
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · 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 Z Stevenson, PA?

The NPI number of Kelly Z Stevenson, PA is 1780913194. It was assigned on December 14, 2009 and is currently active in the NPPES registry.

What is the specialty of Kelly Z Stevenson, PA?

Kelly Z Stevenson, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00227100.

Where does Kelly Z Stevenson, PA practice?

The practice location is 18 E Laurel RD, Stratford, NJ 08084-1327. The office can be reached at 856-686-4306 (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 1780913194 directly on the NPPES registry website.

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