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Contact Information

KIM LUCIANO, APN, C
249 S MAIN ST STE 2
BARNEGAT TOWNSHIP, NJ08005-2369
 Phone: 609-607-1010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KIM LUCIANO · (Female)

NPI Number 1740284496
Status Active
Credentials APN, C
Entity Individual
Enumeration date 06/10/2005
Last updated 08/23/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NN07311100
  • NJ Medicaid 6769004
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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