Provider Demographics
NPI:1992754683
Name:BELL, KIPLEE TELETE (MD, PA-C, MS)
Entity type:Individual
Prefix:MISS
First Name:KIPLEE
Middle Name:TELETE
Last Name:BELL
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Gender:F
Credentials:MD, PA-C, MS
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Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:609-444-0359
Mailing Address - Fax:856-355-6731
Practice Address - Street 1:218 SUNSET ROAD
Practice Address - Street 2:FL 5
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-2752
Practice Address - Country:US
Practice Address - Phone:609-444-0359
Practice Address - Fax:856-355-6731
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2022-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA051086363AM0700X
NJ25MP00117000363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical