Provider Demographics
NPI:1710099296
Name:BELKO, KATHLEEN R (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:R
Last Name:BELKO
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 RIO GRANDE AVE
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE
Mailing Address - State:NJ
Mailing Address - Zip Code:08242
Mailing Address - Country:US
Mailing Address - Phone:856-534-8327
Mailing Address - Fax:856-939-1359
Practice Address - Street 1:204 RIO GRANDE AVE
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:NJ
Practice Address - Zip Code:08242-2014
Practice Address - Country:US
Practice Address - Phone:856-792-8021
Practice Address - Fax:609-770-5499
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03359111N00000X
NJMZ00040171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No111N00000XChiropractic ProvidersChiropractor