KATHLEEN CONNELLY LAC
NPI 1073251609
Counselor - Professional in Evesham, NJ
About Kathleen Connelly Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN CONNELLY LAC (NPI 1073251609) is an individual professional provider in Evesham, New Jersey, licensed in New Jersey (37PC01136900) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen Connelly Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARLTON, NJ 08053
MARLTON, NJ 08053
MARLTON, NJ 08053
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kathleen Connelly's NPI number?
The NPI number for Kathleen Connelly is 1073251609. It was assigned to this individual provider in the NPPES registry on May 24, 2022.
Where is Kathleen Connelly located?
Kathleen Connelly practices at 105 Evesboro Medford Rd, Evesham, NJ 08053. The listed phone number is (609) 948-4995.
What is Kathleen Connelly's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kathleen Connelly enrolled in Medicare?
Yes. Kathleen Connelly is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kathleen Connelly was last updated on October 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
