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
Phone: (732) 255-8805
Fax: (732) 255-8091
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992713192 | NPPES |
| New Jersey | MEDICAID | 7541503 |
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