Provider Demographics
NPI:1881400240
Name:KILPATRICK, RACHEL M (MSN, RN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:KILPATRICK
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 TENNENT RD
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1027
Mailing Address - Country:US
Mailing Address - Phone:732-939-1831
Mailing Address - Fax:
Practice Address - Street 1:1043 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2538
Practice Address - Country:US
Practice Address - Phone:732-800-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR20457600163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0800XNursing Service ProvidersRegistered NurseOrthopedic