Jenner, Kelly Marie

Jenner, Kelly Marie is an individual health care provider with primary practice located at 139 South St Suite 201, New Providence NJ 07974-1999. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jenner, Kelly Marie can be contacted via phone (908) 477-6393.

Contact Information

Primary practice address
139 South St Suite 201 New Providence NJ 07974-1999
Phone: (908) 477-6393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00486500 New Jersey

Profile Details

NPI number 1669634697
LBN Legal business name Jenner, Kelly Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2008
Last updated Jan 21st, 2014 - about 11 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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