Provider Demographics
NPI:1477921633
Name:KENILWORTH SCHOOL DISTRICT
Entity Type:Organization
Organization Name:KENILWORTH SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:GONNELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-276-5936
Mailing Address - Street 1:426 BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:KENILWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07033-1529
Mailing Address - Country:US
Mailing Address - Phone:908-276-5936
Mailing Address - Fax:908-276-1993
Practice Address - Street 1:426 BOULEVARD
Practice Address - Street 2:
Practice Address - City:KENILWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07033-1529
Practice Address - Country:US
Practice Address - Phone:908-276-5936
Practice Address - Fax:908-276-1993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-04
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)