Provider Demographics
NPI:1821515438
Name:BELTON, KIM (APN)
Entity Type:Individual
Prefix:
First Name:KIM
Middle Name:
Last Name:BELTON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:568 ROUTE 10 STE 3
Mailing Address - Street 2:
Mailing Address - City:WHIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07981-1516
Mailing Address - Country:US
Mailing Address - Phone:862-701-2860
Mailing Address - Fax:862-701-2861
Practice Address - Street 1:568 ROUTE 10 STE 3
Practice Address - Street 2:
Practice Address - City:WHIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07981-1516
Practice Address - Country:US
Practice Address - Phone:862-701-2860
Practice Address - Fax:862-701-2861
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00701300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily