Organization
DR JAN KELLEY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN KELLEY DC (OWNER)
(941) 625-2667
Entity
Organization
Contact information
Practice address
3400 TAMIAMI TRL, SUITE 103, PORT CHARLOTTE, FL 33952-8102
(941) 625-2667
Mailing address
3400 TAMIAMI TRL, SUITE 103, PORT CHARLOTTE, FL 33952-8102
(941) 625-2667
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6944F
FL
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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