Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | CH 10560 | FL |
NPI | 1316203342 |
---|---|
Provider Name | Dr. Kelly Jane Voke |
First Address | Pensacola, FL 32501-2607 |
Second Address | Pensacola, FL 32501-2607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2012 |
Last Update Date | 28/04/2016 |