Individual provider · Type 1 NPI

Kevin Innella

Student in an Organized Health Care Education/Training Program · Bayonne, NJ

NPI number 1295589471 Active

Practice location

29 E 29th St
Bayonne, NJ 07002-4654

Call (201) 858-6596 Map

Fax (201) 603-6684

Mailing address

108 Village Rd
Green Village, NJ 07935-3032

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295589471

Kevin Innella's National Provider Identifier is 1295589471, issued on Apr 15, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bayonne, NJ. The record was last updated on Apr 15, 2024.