Healthcare Provider Details

I. General information

NPI: 1881400240
Provider Name (Legal Business Name): RACHEL M KILPATRICK MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2024
Last Update Date: 12/10/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1043 W MAIN ST
FREEHOLD NJ
07728-2538
US

IV. Provider business mailing address

282 TENNENT RD
MORGANVILLE NJ
07751-1027
US

V. Phone/Fax

Practice location:
  • Phone: 732-800-9000
  • Fax:
Mailing address:
  • Phone: 732-939-1831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License Number26NR20457600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: