Individual
MR. KENNETH MBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
98 NAUTILUS DR, BARNEGAT, NJ 08005-1357
(732) 552-9376
Mailing address
98 NAUTILUS DR, BARNEGAT, NJ 08005-1357
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15434700
NJ
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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