Individual
LORI KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN PNP (APN)
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26 NO090088300
NJ
363L00000X
Nurse Practitioner
26NN09088300
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN09088300
NJ
Other
Enumeration date
11/06/2006
Last updated
10/05/2020
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