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Individual

KENNETH M MCHALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1945 ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 775-5550
Mailing address
PO BOX 307, NEPTUNE, NJ 07754-0307
(732) 897-0261
(732) 897-0263

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO09661600
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
081814
NJ

Other

Enumeration date
10/15/2008
Last updated
05/19/2009
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