Provider Demographics
NPI:1750814943
Name:KILONZO, FRANCIS
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:
Last Name:KILONZO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2018 GLESS AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-3826
Mailing Address - Country:US
Mailing Address - Phone:732-979-8188
Mailing Address - Fax:908-686-6305
Practice Address - Street 1:2018 GLESS AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3826
Practice Address - Country:US
Practice Address - Phone:732-979-8188
Practice Address - Fax:908-686-6305
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker