Search › New Jersey › 103G00000X
Kelly Wilder-Willis, PH.D
NPI 1184642571 · on the registry since 2006 · sole proprietor
Practice
- Address
- 51 Harrison Ave
Red Bank, NJ 07701 - Phone
- (732) 618-4950
- Fax
- (732) 219-1910
- Organisation at this address
- Kelly Wilder-Willis, Phd Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103G00000X
103G00000X
- Licence states on file
- RI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey