Kendie Castillo
Nurse Practitioner, Family in Lakewood, NJ. Individual provider (NPI-1).
NPI number1922512946
StatusActive
Last updated in NPPESNov 29, 2017
Details
- NPI
- 1922512946
- Entity type
- Individual (NPI-1)
- Name
- Kendie Castillo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2017
- Last updated
- Nov 29, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ00760200 | NJ | Yes |
Practice location
101 2nd StLakewood, NJ 08701-3324
Phone 732-363-6655
Mailing address
109 Seminole CtHowell, NJ 07731-2454
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