Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 38MC00725200 | NJ |
NPI | 1316336316 |
---|---|
Provider Name | Dr. Kelli Mclaughlin Velez |
First Address | Haddon Twp, NJ 08108-2314 |
Second Address | Collingswood, NJ 08108-2048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2015 |
Last Update Date | 29/06/2019 |