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DR. KELLY M. LAVERDURE D.O.
NPI 1568465656
Family Medicine in Trenton, NJ

Active since May 23, 2005
750 BRUNSWICK AVE, TRENTON, NJ 19178(609) 815-7810(609) 815-7814 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly M. Laverdure D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY M. LAVERDURE D.O. (NPI 1568465656) is an individual family medicine provider in Trenton, New Jersey, licensed in Pennsylvania (OS013010) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1568465656
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KELLY M. LAVERDURECredential: D.O.
Location Address750 BRUNSWICK AVETrenton, NJ 19178-8567
Mailing AddressP.o. Box 8500-8567Philadelphia, PA 19178-8567 · (609) 815-7887 · Fax (215) 860-7754
Phone(609) 815-7810
Fax(609) 815-7814
Sole ProprietorNo
Enumeration DateMay 23, 2005
Last NPPES UpdateAugust 30, 2012
✔ NPI 1568465656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS013010
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
750 BRUNSWICK AVE, Trenton, NJ 19178
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Other Names 1

Former Name (1)Kelly M. Kiernan

Other Identifiers 4

Medicare PIN086997P97PA
Medicare UPINI23407PA
Medicare PIN086997PA
Medicaid1011991960001PA

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 Kelly Laverdure's NPI number?

The NPI number for Kelly Laverdure is 1568465656. It was assigned to this individual provider in the NPPES registry on May 23, 2005. The provider is also known as Kelly M. Kiernan.

Where is Kelly Laverdure located?

Kelly Laverdure practices at 750 Brunswick Ave, Trenton, NJ 19178. The listed phone number is (609) 815-7810.

What is Kelly Laverdure's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kelly Laverdure was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.