DR. KELLY M. LAVERDURE (D.O.) – Family Medicine Physician, NPI 1568465656

DR. KELLY M. LAVERDURE (D.O.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OS013010 (PA). The NPI Number for DR. KELLY M. LAVERDURE (D.O.) is 1568465656

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY M. LAVERDURE (D.O.)
NPI
1568465656
Phone
(609) 815-7887
Address
P.O. BOX 8500-8567
Enumeration Date
23 May 2005
Last Update Date
30 August 2012

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9736438601
Graduation Year
2001 (25 years ago)
PAC ID
6709834450
Group Practice PAC ID
1153461264
Professional Enrollment ID
I20120907000455
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KELLY M. LAVERDURE (D.O.)

  • P.O. BOX 8500-8567

    PHILADELPHIA, PA 191788567

    Phone: (609) 815-7887

    Fax: (215) 860-7754

    Type: Mailing

  • Capital Health Regional Medical Center, 750, Brunswick Avenue, Trenton, Mercer County, New Jersey, 08629, United States

    TRENTON, NJ 191788567

    Phone: (609) 815-7810

    Fax: (609) 815-7814

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19178)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153461264View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. KELLY M. LAVERDURE (D.O.)?
For DR. KELLY M. LAVERDURE (D.O.), use NPI 1568465656 as the unique 10-digit identifier.
Is DR. KELLY M. LAVERDURE (D.O.) still an active registrant?
DR. KELLY M. LAVERDURE (D.O.) carries an active NPI according to the public dataset.
What area of care is associated with DR. KELLY M. LAVERDURE (D.O.)?
DR. KELLY M. LAVERDURE (D.O.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KELLY M. LAVERDURE (D.O.)?
Directory geography for DR. KELLY M. LAVERDURE (D.O.) centers on Philadelphia, Pennsylvania.
Does DR. KELLY M. LAVERDURE (D.O.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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