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NPI 1265461925

NPI 1265461925 : KERRYANN KILKENNY-TRAINOR M.D. : MORRISTOWN, NJ

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General NPI Number Information
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    NPI Number           |    1265461925
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    Entity Type          |    Individual 
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    Provider Name        |    KERRYANN KILKENNY-TRAINOR M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/02/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    11 HILL ST 
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    City                 |    MORRISTOWN
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    State                |    NJ
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    Zip                  |    07960-5328
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    Country              |    US
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    Telephone            |    973-538-5844
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    Fax                  |    973-267-0181
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1689 
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    City                 |    MORRISTOWN
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    State                |    NJ
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    Zip                  |    07962-1689
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    Country              |    US
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    Telephone            |    973-538-8837
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    Fax                  |    973-538-3650
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    MA60493
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    License Number State |    NJ
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