| Doctor Name: | DR. KENYA A ROSENMAN |
| NPI Number: | 1245677855 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | 25MD00317100 |
| Business Practice Address: | 17 White Horse Pike Suite 10a Haddon Heights, NJ - 080351299 |
| Business Phone Number: | 8565468989 |
| Business Fax Number: | 8565468905 |
| Mailing Address: | 17 White Horse Pike, Suite 10a HADDON HEIGHTS |
| State: | NJ |
| Postal Code: | 080351299 |
| Phone Number: | 8565468989 |
| Fax Number: | 8565468905 |
| NPI Enumeration Date: | 05/23/2013 |
| NPI Last Update Date: | 10/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 25MD00317100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |