DR. KELLY GLENN SPEICH MD NPI 1164926770

NPI Information

  • NPI: 1164926770
  • Provider Name: DR. KELLY GLENN SPEICH, MD
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 BOWMAN DR STE D285
    VOORHEES, NJ
    ZIP 08043
  • Phone: (856) 576-5746

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NPI Details

DR. Kelly Glenn Speich, MD is an otolaryngology in Voorhees, NJ with 8 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. DR. Kelly Glenn Speich, MD NPI is 1164926770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COOPER MEDICAL SCHOOL OF ROWAN UNIVERSITY
Graduation Year:2018

The provider's business location address is:

200 BOWMAN DR STE D285
VOORHEES, NJ
ZIP 08043-626
Phone: (856) 576-5746
Fax: (856) 519-5295

The NPI 1164926770 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/19/2018 and was last updated on 2/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology25MA11730800NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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