Healthcare Provider Details

I. General information

NPI: 1225668981
Provider Name (Legal Business Name): KELLY MCERLEAN D. AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2020
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 N HADDON AVE STE 103
HADDONFIELD NJ
08033-1747
US

IV. Provider business mailing address

638 6TH ST
ATCO NJ
08004-1113
US

V. Phone/Fax

Practice location:
  • Phone: 215-275-6990
  • Fax: 856-494-1924
Mailing address:
  • Phone: 609-315-9125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00144000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: