# ECHO BLUE ENTERPRISE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699297168
- **Authorized official:** MRS. KATHLEEN L. KILCOYNE APN (OWNER)
- **Authorized official phone:** (201) 759-5141

## Contact information

- **Practice address:** 550 W MAIN ST, BOONTON, NJ 07005-1168
- **Practice address phone:** (973) 570-4271
- **Practice address fax:** (973) 625-7107
- **Mailing address:** 123 MUNSONHURST RD, FRANKLIN, NJ 07416-1812
- **Mailing address phone:** (201) 759-5141
- **Mailing address fax:** (973) 625-7107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26NJ00164500 | NJ | Yes |

## Other

- **Enumeration date:** 07/16/2017
- **Last updated:** 07/16/2017