Provider Demographics
NPI:1194435693
Name:SCHECHNER KANOFSKY, KARA B (RN)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:B
Last Name:SCHECHNER KANOFSKY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LONGFELLOW CT
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-4323
Mailing Address - Country:US
Mailing Address - Phone:848-459-2446
Mailing Address - Fax:
Practice Address - Street 1:9 LONGFELLOW CT
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-4323
Practice Address - Country:US
Practice Address - Phone:848-459-2446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-25
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2372659163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse