Kedzierska, Ksymena

Kedzierska, Ksymena is an individual health care provider with primary practice located at 4C Doctors Park , Hackettstown NJ 07840-1716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kedzierska, Ksymena can be contacted via phone (908) 852-8096.

Contact Information

Primary practice address
4C Doctors Park Hackettstown NJ 07840-1716
Fax: (908) 852-5012
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA07788100 New Jersey

Profile Details

NPI number 1326045295
LBN Legal business name Kedzierska, Ksymena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 13th, 2019 - about 5 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 1326045295 NPPES
New Jersey MEDICAID 0060691

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