Most Relevant Information
Provider Data
| NPI Number: | 1003300260 |
| Provider Name: | KENNY LAURENT |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/20/2018 |
| Last Updated: | 06/20/2018 |
Provider Practice Location
345 HOOVER AVE
BLOOMFIELD
NJ
070033918
Practice Location Phone/Fax
| Phone: | 9548923489 |
| Fax: |
Provider Mailing Location
345 HOOVER AVE
BLOOMFIELD
NJ
070033918
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |