NPI

Kathleen Connelly

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
LAC
Type
Individual
Enumeration date
2022-05-24
Last updated
2025-10-13

Specialties

Licenses

License NJ
37PC01136900

Location

Practice location
105 Evesboro Medford Rd
City
Evesham NJ
Postal code
08053-3865
Phone
(609) 948-4995

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

Check this NPI on the exclusion page

OIG exclusion search

Nearby

Other NPIs in Evesham, NJ. 44 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

Update a record in NPPES

Try it on your own data today.

Free to start. Most teams are using it the same day.