Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00274900 | NJ |
NPI | 1023349859 |
---|---|
Provider Name | Kimberly Borkowski |
First Address | Marlton, NJ 08053-4197 |
Second Address | Cherry Hill, NJ 08034-2600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2010 |
Last Update Date | 20/01/2020 |