Kenealy, Diane
Kenealy, Diane is an individual health care provider with primary practice located at 5501 Old York Rd # Paley1 , Philadelphia PA 19141-3018. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Kenealy, Diane can be contacted via phone (215) 456-7170.Contact Information
Primary practice address
5501 Old York Rd # Paley1
Philadelphia PA 19141-3018
Phone: (215) 456-7170
Fax: (215) 456-4923
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 26NN09780100 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | SP012130 | Pennsylvania |
Profile Details
| NPI number | 1154409332 |
|---|---|
| LBN Legal business name | Kenealy, Diane |
| Credentials | RN NNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Aug 10th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154409332 | NPPES |
| Pennsylvania | MEDICAID | 1038803330002 |
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