Liss, Kenneth A
Liss, Kenneth A is an individual health care provider with primary practice located at 6 Industrial Way W St B Hypertension & Nephrology Assoc, Eatontown NJ 07724-2268. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Nephrology, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Liss, Kenneth A can be contacted via phone (732) 460-1200.Contact Information
Primary practice address
6 Industrial Way W St B Hypertension & Nephrology Assoc
Eatontown NJ 07724-2268
Phone: (732) 460-1200
Fax: (732) 460-1211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Nephrology | 246ZN0300X | ||
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 25MB06380300 | New Jersey |
Profile Details
| NPI number | 1033125315 |
|---|---|
| LBN Legal business name | Liss, Kenneth A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Mar 8th, 2024 - about 9 months 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 | 1033125315 | NPPES |
| New Jersey | MEDICAID | 7014902 |
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