Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kirkwood Bodden Sr.

Individual provider Adult Health Nurse Practitioner · NPI 1497237796

Mr. Kirkwood Bodden Sr. is an Adult Health Nurse Practitioner in Newark, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2018
Specialties on file
2

Practice location Address checks out

150 Bergen St
Newark, NJ 07103-2496
Phone: (973) 972-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NR16031700 (NJ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 26NJ00644200 (NJ)

Record details

NPI number1497237796
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 4, 2018
Last updated in NPPESOctober 23, 2019

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