Individual
DR. JESSICA LYNN KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1407 NC HIGHWAY 66 S, SUITE G, KERNERSVILLE, NC 27284-3791
(336) 996-7007
(336) 996-7005
Mailing address
566 BEDFORD KNOLL DR, WINSTON SALEM, NC 27107-2023
(336) 996-7007
(336) 996-7005
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3798
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12124636
CAQH
NC
05
—
5911846
—
NC
Enumeration date
11/23/2007
Last updated
03/01/2011
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