Kenneth A Liss, DO Valid NPI
Individual provider · Nephrology Physician · Eatontown, NJ
- NPI
- 1033125315
- Type
- Individual (Type 1)
- Primary specialty
- Nephrology Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207RN0300X
- License number
- 25MB06380300 (NJ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-31
- Last updated
- 2024-03-08
Practice location
6 Industrial Way W, St B Hypertension & Nephrology Assoc
Eatontown, NJ 07724-2268
(732) 460-1200