Kennelly, Paul

Kennelly, Paul is an sole proprietor health care provider with primary practice located at 1749 Hooper Ave Suite 101, Toms River NJ 08753-8130. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Kennelly, Paul can be contacted via phone (732) 255-8805.

Contact Information

Primary practice address
1749 Hooper Ave Suite 101 Toms River NJ 08753-8130
Fax: (732) 255-8091
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X MD 002445 New Jersey

Profile Details

NPI number 1992713192
LBN Legal business name Kennelly, Paul
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992713192 NPPES
New Jersey MEDICAID 7541503

Popular Providers