Renna, Kimberly Ann

Renna, Kimberly Ann is an individual health care provider with primary practice located at 28 Sycamore Dr , Hazlet NJ 07730-1833. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Prescribing (Medical), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Renna, Kimberly Ann can be contacted via phone (908) 902-6593.

Contact Information

Primary practice address
28 Sycamore Dr Hazlet NJ 07730-1833
Phone: (908) 902-6593
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X New York

Profile Details

NPI number 1811454127
LBN Legal business name Renna, Kimberly Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2019
Last updated Feb 22nd, 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 1811454127 NPPES
New Jersey MEDICAID 2949511045
New Jersey Other Q1S1255211850010

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