Individual
KEVIN DANIELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1608 ROUTE 88 W STE 250, BRICK, NJ 08724-3044
(732) 840-8880
(732) 840-3939
Mailing address
1608 ROUTE 88 W STE 250, BRICK, NJ 08724-3044
(732) 840-8880
(732) 840-3939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01381600
NJ
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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