Individual
KELLY KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN-BC, NP-C
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8000
Mailing address
818 WYNETTA PL, PARAMUS, NJ 07652-2325
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01049200
NJ
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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