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COURTNEY GRACE KIVEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
505 BAY AVE, BAYSIDE COMMONS SUITE 101, SOMERS POINT, NJ 08244-2563
(609) 927-4235
Mailing address
505 BAY AVE, BAYSIDE COMMONS SUITE 101, SOMERS POINT, NJ 08244-2563
(609) 927-4235

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22 643556
NY
163W00000X
Registered Nurse
26NR15920700
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00434700
NJ

Other

Enumeration date
09/26/2012
Last updated
05/06/2013
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