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Dr. Kenneth A Liss, DO
Nephrology Physician in Eatontown, New Jersey
NPI 1033125315

Kenneth A Liss is a Nephrology Physician based in Eatontown, NJ and is specialized in Nephrology. Kenneth A Liss practices in Eatontown, NJ and has the professional credentials of DO. The NPI Number for Kenneth A Liss is 1033125315 and holds a License No. (New Jersey).

The current practice location address for Kenneth A Liss is 6 Industrial Way W, Eatontown, NJ and can be reached out via phone at 732-460-1200 and via fax at 732-460-1211.

Location: 6 Industrial Way W, Eatontown, NJ, 07724-2268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033125315
Provider Name
Kenneth A Liss
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
6 Industrial Way W, Eatontown, NJ, 07724-2268
Phone Number
732-460-1200
Fax Number
732-460-1211
Provider Enumeration Date
07/31/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7014902 05 NJ
institution
Provider Business Practice Location Address Details
Address
6 Industrial Way W
City
Eatontown
State
New Jersey
Zip
07724-2268
Phone Number
732-460-1200
Fax Number
732-460-1211
person
Provider Business Mailing Address Details
Address
6 Industrial Way W
City
Eatontown
State
New Jersey
Zip
07724-2268
Phone Number
732-460-1200
Fax Number
732-460-1211
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
25MB06380300 (New Jersey)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Nephrology
Taxonomy
246ZN0300X
License No.
()
Definition
Definition to come...
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