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1295870749 NPI number — KELLY L ECKER DO

NPI Number: 1295870749
Health Care Provider/Practitioner: KELLY L ECKER DO

Information about “1295870749” NPI (KELLY L ECKER DO) exists in 1295870749 in HTML format HTML  |  1295870749 in plain Text format TXT  |  1295870749 in PDF (Portable Document Format) PDF  |  1295870749 in an XML format XML  formats.

NPI Number : 1295870749 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295870749",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ECKER",
    "FirstName": "KELLY",
    "MiddleName": "L",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "435 HURFFVILLE CROSS KEYS RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TURNERSVILLE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08012-2453",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "856-218-5092",
    "MailingAddressFaxNumber": "856-218-5084",
    "FirstLinePracticeLocationAddress": "435 HURFFVILLE CROSS KEYS RD",
    "SecondLinePracticeLocationAddress": "DIVISION OF NEONATOLOGY",
    "PracticeLocationAddressCityName": "TURNERSVILLE",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08012-2453",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "856-218-5092",
    "PracticeLocationAddressFaxNumber": "856-218-5084",
    "EnumerationDate": "02/21/2007",
    "LastUpdateDate": "09/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2080N0001X",
          "TaxonomyName": "Neonatal-Perinatal Medicine Physician",
          "LicenseNumber": "OS015243",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2080N0001X",
          "TaxonomyName": "Neonatal-Perinatal Medicine Physician",
          "LicenseNumber": "C2-0011164",
          "LicenseNumberStateCode": "DE",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2080N0001X",
          "TaxonomyName": "Neonatal-Perinatal Medicine Physician",
          "LicenseNumber": "25MB12646500",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "208000000X",
          "TaxonomyName": "Pediatrics Physician",
          "LicenseNumber": "H0069767",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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