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Contact Information

KENNETH FERNANDEZ
209 COMLY RD
M13
LINCOLN PARK, NJ07035
 Phone: 973-572-2940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for KENNETH FERNANDEZ · (Male)

NPI Number 1063877207
Status Active
Credentials
Entity Individual
Enumeration date 12/15/2015
Last updated 12/15/2015 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 46TA09114900
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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