Provider Demographics
NPI:1316336316
Name:VELEZ, KELLI MCLAUGHLIN (DC)
Entity type:Individual
Prefix:DR
First Name:KELLI
Middle Name:MCLAUGHLIN
Last Name:VELEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MELROSE AVE
Mailing Address - Street 2:
Mailing Address - City:HADDON TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-2314
Mailing Address - Country:US
Mailing Address - Phone:856-477-9330
Mailing Address - Fax:
Practice Address - Street 1:987 HADDON AVE
Practice Address - Street 2:
Practice Address - City:COLLINGSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08108-2048
Practice Address - Country:US
Practice Address - Phone:856-477-9330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-13
Last Update Date:2019-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00725200111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician