Most Relevant Information
Provider Data
| NPI Number: | 1003450958 |
| Provider Name: | RODAH W KIMANI APN |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ00980400 |
Most Important Dates
| Enumeration Date: | 11/04/2019 |
| Last Updated: | 08/20/2024 |
Provider Practice Location
10 2ND ST
NEW PROVIDENCE
NJ
079742237
Practice Location Phone/Fax
| Phone: | 9088872737 |
| Fax: |
Provider Mailing Location
10 2ND ST
NEW PROVIDENCE
NJ
079742237
Provider Mailing Phone/Fax
| Phone: | 9088872737 |
| Fax: |