Provider Demographics
NPI:1851185326
Name:VELEZ, KELLY ALEXANDRA
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:ALEXANDRA
Last Name:VELEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14210 ROOSEVELT AVE APT 108
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-6029
Mailing Address - Country:US
Mailing Address - Phone:917-945-7602
Mailing Address - Fax:
Practice Address - Street 1:14210 ROOSEVELT AVE APT 108
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-6029
Practice Address - Country:US
Practice Address - Phone:917-945-7602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula