Individual
MR. KENNETH R PAGELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1060 PARVIN MILL RD, PITTSGROVE, NJ 08318-4168
(856) 503-0696
Mailing address
1060 PARVIN MILL RD, PITTSGROVE, NJ 08318-4168
(856) 503-0696
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86008770
NJ
Other
Enumeration date
10/28/2012
Last updated
12/12/2012
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