Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MA035937 | NJ |
NPI | 1295063410 |
---|---|
Provider Name | Dr. Kenneth Allen Kappy |
First Address | Mt Arlington, NJ 07856-2325 |
Second Address | Mount Arlington, NJ 07856-2325 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2009 |
Last Update Date | 26/11/2014 |