Ilaoa, Kiersten

Ilaoa, Kiersten is an sole proprietor health care provider with primary practice located at 765 Route 70 E , Marlton NJ 08053-2341. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ilaoa, Kiersten can be contacted via phone (856) 983-3900.

Contact Information

Primary practice address
765 Route 70 E Marlton NJ 08053-2341
Phone: (856) 983-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00952100 New Jersey

Profile Details

NPI number 1710549431
LBN Legal business name Ilaoa, Kiersten
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2019
Last updated Apr 23rd, 2021 - about 3 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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