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Contact Information

KELLI A LENNON, NP
300 SECOND AVE
LONG BRANCH, NJ07740
 Phone: 732-923-6860
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KELLI A LENNON · (Female)

NPI # 1013069277
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 01/17/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NJ00053200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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