Luciano, Kim

Luciano, Kim is an individual health care provider with primary practice located at 249 S Main St Ste 2 , Barnegat NJ 08005-2369. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Luciano, Kim can be contacted via phone (609) 607-1010.

Contact Information

Primary practice address
249 S Main St Ste 2 Barnegat NJ 08005-2369
Phone: (609) 607-1010
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 26NN07311100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 26NN07311100 New Jersey

Profile Details

NPI number 1740284496
LBN Legal business name Luciano, Kim
Credentials APN, C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Aug 23rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740284496 NPPES
New Jersey MEDICAID 6769004

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