Individual
MS. BARBARA MARIE KENEALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
20 ELLEN AVE, BABYLON, NY 11702-2302
(631) 427-0311
(631) 623-4934
Mailing address
20 ELLEN AVE, BABYLON, NY 11702-2302
(631) 427-0311
(631) 623-4934
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
256547-1
NY
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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