Individual
NICOLE KEKESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PEDERSEN CT, COLUMBUS, NJ 08022-2257
(609) 468-8121
Mailing address
1 PEDERSEN CT, COLUMBUS, NJ 08022-2257
(609) 468-8121
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
940264
NJ
174N00000X
Lactation Consultant (Non-RN)
11146140
NJ
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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