| Erin Kennedy, LAC | |
|
67 Home Ave, Rutherford, NJ 07070-1727 | |
| (646) 470-3672 | |
| Not Available |
| Full Name | Erin Kennedy |
|---|---|
| Gender | Female |
| Speciality | Acupuncturist |
| Location | 67 Home Ave, Rutherford, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376155838 | NPI | - | NPPES |
| 006692 | Other | NY | NEW YORK STATE ACUPUNCTURE LICENSE |
| 25MZ00145700 | Other | NJ | NEW JERSEY STATE ACUPUNCTURE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 006692 (New York) | Secondary |
| 171100000X | Acupuncturist | 25MZ00145700 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Kennedy, LAC 370 Convent Ave Apt 4b, New York, NY 10031-4225 Ph: (773) 636-5715 | Erin Kennedy, LAC 67 Home Ave, Rutherford, NJ 07070-1727 Ph: (646) 470-3672 |
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