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1548556087 NPI number — KELLEY C. STOKES PT

NPI Number: 1548556087
Health Care Provider/Practitioner: KELLEY C. STOKES PT

Information about “1548556087” NPI (KELLEY C. STOKES PT) exists in 1548556087 in HTML format HTML  |  1548556087 in plain Text format TXT  |  1548556087 in PDF (Portable Document Format) PDF  |  1548556087 in an XML format XML  formats.

NPI Number : 1548556087 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548556087",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STOKES",
    "FirstName": "KELLEY",
    "MiddleName": "C.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GREATHOUSE",
    "OtherFirstName": "KELLEY",
    "OtherMiddleName": "C.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8333 N DAVIS HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PENSACOLA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32514-6050",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-474-8100",
    "MailingAddressFaxNumber": "860-474-8083",
    "FirstLinePracticeLocationAddress": "8333 N DAVIS HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PENSACOLA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32514-6050",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-969-2600",
    "PracticeLocationAddressFaxNumber": "850-969-2601",
    "EnumerationDate": "06/23/2011",
    "LastUpdateDate": "04/03/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "PT25579",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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