Individual
DR. TERESA COLLEEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
657 VAN HOUTEN AVE, CLIFTON, NJ 07013-2134
(973) 777-9404
(973) 777-9489
Mailing address
24 DURRELL ST, VERONA, NJ 07044-1722
(973) 777-9404
(973) 777-9489
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00545600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8038708
—
NJ
Enumeration date
05/20/2007
Last updated
07/09/2007
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