Provider Demographics
NPI:1154731503
Name:PFLUG, KELLY NICOLE (DC)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:NICOLE
Last Name:PFLUG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:NICOLE
Other - Last Name:SERRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:90 BEAVER AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:CLINTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08809-1017
Mailing Address - Country:US
Mailing Address - Phone:908-246-7911
Mailing Address - Fax:
Practice Address - Street 1:90 BEAVER AVE
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809-1017
Practice Address - Country:US
Practice Address - Phone:908-246-7911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC0071700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor