MEDICARE: DR. KELLI MCLAUGHLIN VELEZ D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NS0005X	Sports Physician Chiropractor	38MC00725200	NJ

General Provider Information

NPI Number	:	1316336316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELLI MCLAUGHLIN VELEZ D.C.

Provider Business Mailing Address
First Line	:	40 MELROSE AVE
Second Line	:
City	:	HADDON TWP
State	:	NJ
Zip	:	08108-2314
Country	:	US
Telephone Number	:	856-477-9330
Fax Number	:

Provider Business Practice Location Address
First Line	:	987 HADDON AVE
Second Line	:
City	:	COLLINGSWOOD
State	:	NJ
Zip	:	08108-2048
Country	:	US
Telephone Number	:	856-477-9330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2015
Last Update Date	:	06/29/2019

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