Active NPIIndividual providerSole proprietor

Kelly Kennedy, MSN, RN-BC, NP-C

Nurse Practitioner, Family in Ridgewood, New Jersey

NPI Number1942801956
Practice location
223 N Van Dien Ave, Ridgewood, NJ 07450-2726
Fax
—
Last updated
November 5, 2020

Kelly Kennedy is a Nurse Practitioner, Family based in Ridgewood, NJ. Kelly Kennedy practices in Ridgewood, NJ and has the professional credentials of MSN, RN-BC, NP-C. The NPI Number for Kelly Kennedy is 1942801956 and holds a License No. 26NJ01049200 (NJ). The current practice location address for Kelly Kennedy is 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 and can be reached out via phone at 201-447-8000.

Provider Profile Details

NPI Number
1942801956
Provider Name
Kelly Kennedy
Credential
MSN, RN-BC, NP-C
Provider Entity Type
Individual
Gender
Female
Address
223 N Van Dien Ave, Ridgewood, NJ 07450-2726
Phone Number
201-447-8000
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
November 5, 2020
Last Update Date
November 5, 2020
Certification Date
November 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Zip
07450-2726
Phone Number
201-447-8000
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
818 Wynetta Pl
Paramus, NJ 07652-2325
City
Paramus
State
NJ
Zip
07652-2325

License Information

License Number
26NJ01049200
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Kelly Kennedy, MSN, RN-BC, NP-C?

The NPI number of Kelly Kennedy, MSN, RN-BC, NP-C is 1942801956. It was assigned on November 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Kelly Kennedy, MSN, RN-BC, NP-C?

Kelly Kennedy, MSN, RN-BC, NP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ01049200.

Where does Kelly Kennedy, MSN, RN-BC, NP-C practice?

The practice location is 223 N Van Dien Ave, Ridgewood, NJ 07450-2726. The office can be reached at 201-447-8000 (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 1942801956 directly on the NPPES registry website.

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