NPI 1104101617

Stephanie a Kenneally, MOTOTRL

Practitioner Contractor Freehold, NJ

Practice location

Address: 40 Canterbury Dr, Freehold, NJ 07728-4421
Phone: (732) 266-8814
Mailing address: 257b Matchaponix Ave, Monroe, NJ 08831-4034

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 46TR0542000 (NJ)

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Registry record

NPI: 1104101617
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2011
Record last updated: 9 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.