Kathryhn Elizabeth Kebeck

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NP03371000 Issued in NJ

Practice address

804 Walling Ave
Wall Township, NJ 07719-3129

Phone

(732) 768-0532

NPI assigned

Nov 24, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1235904822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 WALLING AVE",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193129",
            "telephone_number": "732-768-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 WALLING AVE",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193129",
            "telephone_number": "732-768-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBECK",
        "first_name": "KATHRYHN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-24",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP03371000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Zebrowski
• Kathleen a Dowling, M.D., LLC
• Kathryn a Memoli LCSW
• Aasim S Kazmi, M.D.
• Nicole L Keating, APN
• John F Keegan, DPT
• Keep Climbing Counseling, LLC
• Elisabeth Kelsey
• Kendy J Ker, MS, CCC-SLP
• Jillian Benincasa Kessler, LPC LCADC

• Licensed Practical Nurse in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.