Individual
DR. ELLEN NICOLE KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
408 BELLEVUE AVE, TRENTON, NJ 08618-4502
(609) 396-5800
(609) 396-5528
Mailing address
408 BELLEVUE AVE, TRENTON, NJ 08618-4502
(609) 396-5800
(609) 396-5528
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MA06598900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0972731
AETNA
NJ
01
—
1523708
UMWA
NJ
05
—
7515006
—
NJ
01
—
F17206
GHN
NJ
Enumeration date
07/28/2006
Last updated
07/09/2007
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