Most Relevant Information
Provider Data
| NPI Number: | 1003380676 |
| Provider Name: | CYNTHIA LYNN KINSELLA |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/17/2019 |
| Last Updated: | 01/17/2019 |
Provider Practice Location
901 W MAIN ST
FREEHOLD
NJ
077282549
Practice Location Phone/Fax
| Phone: | 7323080570 |
| Fax: |
Provider Mailing Location
901 W MAIN ST
FREEHOLD
NJ
077282549
Provider Mailing Phone/Fax
| Phone: | 7323080570 |
| Fax: |