IndividualActive
Jacquelyn Kinney, MD
NPI 1114675022 · Plastic and Reconstructive Surgery Physician · Newark, NJ
Provider details
- NPI number
- 1114675022
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- P24-00760 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
140 Bergen St
Newark, NJ 07103-2425
Phone: (973) 972-5377
Approximate (ZIP-level) locationGet directions
Mailing address
140 Bergen St
Newark, NJ 07103-2425
Registry dates
- Enumerated
- 2022-03-10
- Last updated
- 2024-10-19
- Certified
- 2024-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.