Individual
KATHLEEN MENOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1445 WHITEHORSE MERCERVILLE RD, SUITE 103, HAMILTON, NJ 08619-3834
(609) 587-6661
(609) 587-8503
Mailing address
PO BOX 8500-2946, PHILADELPHIA, PA 19178-2946
(609) 815-7810
(609) 815-7814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26NR06630900
NJ
363L00000X
Nurse Practitioner
Primary
26NR06630900
NJ
Other
Enumeration date
08/19/2013
Last updated
10/05/2013
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