Doctor Name: | MS. ALISON NICOL KINLAW |
NPI Number: | 1235251000 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C, MHS |
License Number: | 25MP00133800 |
Business Practice Address: | 2103 Klockner Rd Hamilton Square, NJ - 086903403 |
Business Phone Number: | 6095864739 |
Business Fax Number: | 6095885314 |
Mailing Address: | 5 Dorset Ct, BORDENTOWN |
State: | NJ |
Postal Code: | 085053177 |
Phone Number: | 6093248173 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 04/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 25MP00133800 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |