Individual
KERNEY MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 ELM ST, ORANGE, NJ 07050-4001
(973) 393-5025
Mailing address
145 ELM ST, ORANGE, NJ 07050-4001
(973) 393-5025
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
26NP07107600
NJ
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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