Provider Demographics
NPI:1346956596
Name:VELJKOVIC, KAMILA (CNS)
Entity type:Individual
Prefix:
First Name:KAMILA
Middle Name:
Last Name:VELJKOVIC
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 BOYLE ST
Mailing Address - Street 2:
Mailing Address - City:BOONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07005-1511
Mailing Address - Country:US
Mailing Address - Phone:973-352-7226
Mailing Address - Fax:
Practice Address - Street 1:915 BOYLE ST
Practice Address - Street 2:
Practice Address - City:BOONTON
Practice Address - State:NJ
Practice Address - Zip Code:07005-1511
Practice Address - Country:US
Practice Address - Phone:973-352-7226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty