Organization
KSN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN CARLENA BAILEY (OWNER)
(862) 944-5889
Entity
Organization
Contact information
Practice address
478 15TH AVE, NEWARK, NJ 07103-2031
(973) 900-6087
Mailing address
PO BOX 3791, NEWARK, NJ 07103-0791
(973) 900-6087
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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