Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 25MA11262800 | NJ |
N | 207RH0003X | Hematology & Oncology | MD037410 | DC |
Y | 207RX0202X | Medical Oncology | 25MA11262800 | NJ |
NPI | 1083860944 |
---|---|
Provider Name | Kelly West Fitzpatrick |
First Address | Neptune, NJ 07753-4488 |
Second Address | Neptune, NJ 07753-4488 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2008 |
Last Update Date | 26/01/2022 |