Kinfolk Family Health NP, PLLC
Nurse Practitioner, Family in Montclair, NJ. Organization (NPI-2).
NPI number1982176376
StatusActive
Last updated in NPPESOct 19, 2020
Details
- NPI
- 1982176376
- Entity type
- Organization (NPI-2)
- Legal business name
- Kinfolk Family Health NP, PLLC
- Organization subpart
- No
- Enumeration date
- Dec 22, 2018
- Certification date
- Oct 19, 2020
- Last updated
- Oct 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
292 Bloomfield Ave Fl 2Montclair, NJ 07042-3624
Phone 973-500-6773 · Fax 973-453-4066
Mailing address
16 Eastwood StEast Orange, NJ 07017-2013
Phone 973-500-6773 · Fax 973-453-4066
Other practice locations
16 Eastwood St
East Orange, NJ 07017
East Orange, NJ 07017
Phone 973-592-6181 · Fax 888-816-4307
Authorized official
Rakiyah Jones
Owner
9735006773
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