Individual
GEORGE KOFA KIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
824 N BLACK HORSE PIKE, RUNNEMEDE, NJ 08078-1034
(215) 839-0801
Mailing address
292 APPLEGARTH RD, MONROE TOWNSHIP, NJ 08831-3754
(609) 532-9965
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NR01160100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NR01160100
FAMILY NURSE PRACTITIONER
NJ
Enumeration date
06/14/2021
Last updated
06/14/2021
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