Kenneth Paul Michelette, NURSEPRACTITIONER
Kenneth Paul Michelette, NURSEPRACTITIONER is a Nurse Practitioner in Galloway, New Jersey. Qualified in 2020, 6 years ago. Practices with Atlanticare Physician Group PA, a 503-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 6
- Licensed in
- NJ
- In the registry since
- 2020
Practice location Address checks out
72 W Jimmie Leeds Rd Ste 2500Galloway, NJ 08205-9413
Phone: (609) 377-5133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine (Anesthesiology) Physician (primary) | Taxonomy 207LP2900X · Licence 26NJ01060700 (NJ) |
|---|
Record details
| NPI number | 1851998488 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | October 6, 2020 |
| Last updated in NPPES | October 6, 2020 |
| Certification date | October 6, 2020 |
| Mailing address | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Atlanticare Physician Group Pa — 503 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Galloway
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Salvatore Joseph Cerniglia, DO
76 W Jimmie Leeds Rd Ste 501, Galloway, NJ 08205-9419 · (609) 568-5567
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South Jersey Pain Management
76 W Jim Leeds Rd Park Ctr Ste 501, Galloway, NJ 08205-9411 · (609) 568-5567