Doctor Name: | MS. KATHLEEN PATRICIA DENESHA |
NPI Number: | 1235340316 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | MB048583 |
Business Practice Address: | 500 E 6th St Ocean City, NJ - 082263826 |
Business Phone Number: | 6093991862 |
Business Fax Number: | 6093399157 |
Mailing Address: | 197 Blackman Rd, EHT |
State: | NJ |
Postal Code: | 082347514 |
Phone Number: | 6097888822 |
Fax Number: | 6093399157 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MB048583 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |