Individual
JACQUELYN RENEE KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-5377
Mailing address
140 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-1129
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
P24-00760
NJ
Other
Enumeration date
03/10/2022
Last updated
10/19/2024
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