Provider Demographics
NPI:1437375219
Name:CAHILL, KATHLEEN T (ARNP)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:T
Last Name:CAHILL
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:42 E LAUREL RD
Mailing Address - Street 2:UDP #1700
Mailing Address - City:STRATFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08084-1354
Mailing Address - Country:US
Mailing Address - Phone:856-566-7010
Mailing Address - Fax:856-566-6956
Practice Address - Street 1:42 E LAUREL RD
Practice Address - Street 2:UDP #1700
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1354
Practice Address - Country:US
Practice Address - Phone:856-566-7010
Practice Address - Fax:856-566-6956
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL879182363LA2200X
NJ26NJ00329800363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0278955Medicaid
NJ0278955Medicaid