Fallon, Kim M

Fallon, Kim M is an individual health care provider with primary practice located at 160 Route 9 , Bayville NJ 08721-1229. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Fallon, Kim M can be contacted via phone (732) 349-5550.

Contact Information

Primary practice address
160 Route 9 Bayville NJ 08721-1229
Phone: (732) 349-5550
Fax: (732) 505-1517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00062300 New Jersey

Profile Details

NPI number 1013005289
LBN Legal business name Fallon, Kim M
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Feb 11th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013005289 NPPES
New Jersey MEDICAID 0192881

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