person
Ms. Diane Kenealy, RNNNP
Critical Care Neonatal Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1154409332

Diane Kenealy is a Critical Care Neonatal Nurse Practitioner based in Philadelphia, PA and is specialized in Neonatal, Critical Care. Diane Kenealy practices in Philadelphia, PA and has the professional credentials of RNNNP. The NPI Number for Diane Kenealy is 1154409332 and holds a License No. 26NN09780100 (Pennsylvania).

The current practice location address for Diane Kenealy is 5501 Old York Rd # Paley1, Philadelphia, PA and can be reached out via phone at 215-456-7170 and via fax at 215-456-4923. You can also correspond with Diane Kenealy through the mailing address at 101 E OLNEY AVE STE 400, PHILADELPHIA, PA - 19120-2470 (mailing address contact number: 215-456-1825).

Location: 5501 Old York Rd # Paley1, Philadelphia, PA, 19120-2470
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Provider Profile Details
NPI Number
1154409332
Provider Name
Diane Kenealy
Credential
RNNNP
Provider Entity Type
Individual
Gender
Female
Address
5501 Old York Rd # Paley1, Philadelphia, PA, 19120-2470
Phone Number
215-456-7170
Fax Number
215-456-4923
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1038803330002 05 PA
institution
Provider Business Practice Location Address Details
Address
5501 Old York Rd # Paley1
City
State
Zip
19141-3018
Phone Number
215-456-7170
Fax Number
215-456-4923
person
Provider Business Mailing Address Details
Address
101 E Olney Ave Ste 400
City
State
Zip
19120-2470
Phone Number
215-456-1825
Fax Number
215-456-5926
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
License No.
26NN09780100 (New Jersey)
Definition
Definition to come...
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