# KM SPORTS AND SPINE MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861731036
- **Authorized official:** DR. KEVIN MCELROY DO (PRESIDENT)
- **Authorized official phone:** (201) 632-3080

## Contact information

- **Practice address:** 444 MARKET ST, SADDLE BROOK, NJ 07663-5996
- **Practice address phone:** (201) 632-3080
- **Practice address fax:** (201) 644-6269
- **Mailing address:** 444 MARKET ST, SUITE 2B, SADDLE BROOK, NJ 07663-5996
- **Mailing address phone:** (201) 632-3080
- **Mailing address fax:** (201) 644-6269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 25MB08770900 | NJ | Yes |

## Other

- **Enumeration date:** 02/08/2013
- **Last updated:** 01/13/2014
