Kelly Sykes, PA-C
Individual provider Active NPI Medical Physician Assistant · Brigantine, NJ
NPI 1629327655 · NPPES record last updated Sep 5, 2012
Key facts
- NPI
- 1629327655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 25MP00288400 (NJ)
- Practice address
- 4248 Harbour Beach Blvd
Brigantine, NJ 08203-1361 - Phone
- (609) 266-0400
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 25MP00288400 | NJ | Yes |
Addresses
Primary practice location
4248 Harbour Beach Blvd
Brigantine, NJ 08203-1361
Mailing address
4248 Harbour Beach Blvd
Brigantine, NJ 08203-1361
Other providers in Brigantine, NJ
- Ronald Pustizzi
- Stacy Ann Richey
- Maria Saccoccia
- Mohamed A Saloum
- June A Sisson
- Emerson Richards Tracy
- Kris Michele Triolo
- Luiza Triolo
- Walgreen Co
- Robert Emmit Ward
All providers in Brigantine, NJ · Medical Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.