Individual
MRS. KATHLEEN KENNEY JUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
200 BOWMAN DR STE E355B, VOORHEES, NJ 08043-9623
(856) 247-7260
(856) 247-7261
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
26NJ00004200
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00004200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0448427
—
NJ
Enumeration date
10/14/2010
Last updated
10/15/2024
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