# KIM FALLON, APN, LLC

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

## Provider details

- **NPI number:** 1922212554
- **Authorized official:** KIM MARIE FALLON APN (OWNER)
- **Authorized official phone:** (732) 281-1211

## Contact information

- **Practice address:** 440 COMMONS WAY, BUILDING D, TOMS RIVER, NJ 08755-6428
- **Practice address phone:** (732) 281-1211
- **Mailing address:** 440 COMMONS WAY, BUILDING D, TOMS RIVER, NJ 08755-6428
- **Mailing address phone:** (732) 281-1211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26NJ00062300 | NJ | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 08/22/2020