Kellie Grodin, RN
Registered Nurse in Cinnaminson, NJ. Individual provider (NPI-1).
NPI number1508048950
StatusActive
Last updated in NPPESNov 28, 2007
Details
- NPI
- 1508048950
- Entity type
- Individual (NPI-1)
- Name
- Kellie Grodin
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 28, 2007
- Last updated
- Nov 28, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 26n012153900 | NJ | Yes |
Practice location
326 Lisa WayCinnaminson, NJ 08077-1548
Phone 800-950-6066
Mailing address
326 Lisa WayCinnaminson, NJ 08077-1548
Phone 800-950-6066
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Registered Nurse providers in Cinnaminson · All 366 providers in Cinnaminson
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