Active NPIIndividual provider

Kelvin Imhomoh

Physical Therapy Assistant in Eatontown, New Jersey

NPI Number1073204020
Practice location
3 Industrial Way E, Eatontown, NJ 07724-3318
Fax
—
Last updated
May 18, 2023

Kelvin Imhomoh is a Physical Therapy Assistant based in Eatontown, NJ. Kelvin Imhomoh practices in Eatontown, NJ. The NPI Number for Kelvin Imhomoh is 1073204020 and holds a License No. 40qb00342800 (NJ). The current practice location address for Kelvin Imhomoh is 3 Industrial Way E, Eatontown, NJ 07724-3318 and can be reached out via phone at 732-544-1557.

Provider Profile Details

NPI Number
1073204020
Provider Name
Kelvin Imhomoh
Provider Entity Type
Individual
Gender
Male
Address
3 Industrial Way E, Eatontown, NJ 07724-3318
Phone Number
732-544-1557
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
May 18, 2023
Last Update Date
May 18, 2023
Certification Date
May 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Industrial Way E
Eatontown, NJ 07724-3318
Zip
07724-3318
Phone Number
732-544-1557
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
13 Gerard Pl
Parlin, NJ 08859-2306
City
Parlin
State
NJ
Zip
08859-2306

License Information

License Number
40qb00342800
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelvin Imhomoh?

The NPI number of Kelvin Imhomoh is 1073204020. It was assigned on May 18, 2023 and is currently active in the NPPES registry.

What is the specialty of Kelvin Imhomoh?

Kelvin Imhomoh is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40qb00342800.

Where does Kelvin Imhomoh practice?

The practice location is 3 Industrial Way E, Eatontown, NJ 07724-3318. The office can be reached at 732-544-1557 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073204020 directly on the NPPES registry website.

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