Provider Demographics
NPI:1295870749
Name:ECKER, KELLY L (DO)
Entity type:Individual
Prefix:DR
First Name:KELLY
Middle Name:L
Last Name:ECKER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:435 HURFFVILLE CROSS KEYS RD
Mailing Address - Street 2:
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-2453
Mailing Address - Country:US
Mailing Address - Phone:856-218-5092
Mailing Address - Fax:856-218-5084
Practice Address - Street 1:435 HURFFVILLE CROSS KEYS RD
Practice Address - Street 2:DIVISION OF NEONATOLOGY
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-2453
Practice Address - Country:US
Practice Address - Phone:856-218-5092
Practice Address - Fax:856-218-5084
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS0152432080N0001X
DEC2-00111642080N0001X
NJ25MB126465002080N0001X
MDH0069767208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics