Individual
LORI KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN PNP (APN)
Contact information
Practice address
HUNTERDON DEVELOPMENTAL PEDIATRIC ASSOCIATES, 190 ROUTE 31 SUITE 500, FLEMINGTEN, NJ 08822
(908) 788-6650
(908) 788-6650
Mailing address
190 ROUTE 31, SUIT 500, FLEMINGTEN, NJ 08822
(908) 788-6650
(908) 788-2578
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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