Doctor Name: | KATHLEEN L PALMER |
NPI Number: | 1174932347 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00516300 |
Business Practice Address: | 1400 Rte 35 Building 1 Ocean, NJ - 077123547 |
Business Phone Number: | 7325315509 |
Business Fax Number: | 7325315164 |
Mailing Address: | 1400 Rte 35, Building 1 OCEAN |
State: | NJ |
Postal Code: | 077123547 |
Phone Number: | 7325315509 |
Fax Number: | 7325315164 |
NPI Enumeration Date: | 08/12/2014 |
NPI Last Update Date: | 08/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00516300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |