Individual
KIMBERLY KOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 S VAN BRUNT ST, ENGLEWOOD, NJ 07631-4604
(201) 569-2770
Mailing address
401 S VAN BRUNT ST, ENGLEWOOD, NJ 07631-4604
(201) 569-2770
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
25MA11386100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2016
Last updated
08/10/2022
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