DR JAN KELLEY PA
NPI 1417208000
Chiropractor in Port Charlotte, FL

Active since September 24, 2012
3400 TAMIAMI TRL, SUITE 103, PORT CHARLOTTE, FL 33952(941) 625-2667 Get Directions Write a Review

NPPES record last updated: September 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr Jan Kelley Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR JAN KELLEY PA (NPI 1417208000) is a healthcare organization registered as a chiropractor in Port Charlotte, Florida and active in the NPI registry since September 2012. The organization lists Jan Kelley, Owner, as its authorized official.

NPPES Registry Identity

NPI1417208000
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDR JAN KELLEY PA
Location Address3400 TAMIAMI TRL, SUITE 103Port Charlotte, FL 33952-8102
Mailing Address3400 Tamiami Trl, Suite 103Port Charlotte, FL 33952-8102 · (941) 625-2667
Organization SubpartNo
Authorized OfficialJan KelleyOwner · (941) 625-2667
Enumeration DateSeptember 24, 2012
NPI 1417208000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in FL · CH6944F
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3400 TAMIAMI TRL, Port Charlotte, FL 33952

Other Identifiers 1

Medicare UPINU29428FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
3400 TAMIAMI TRL, SUITE 204
PORT CHARLOTTE, FL 33952
Counselor (Mental Health)
3400 TAMIAMI TRL, SUITE 204
PORT CHARLOTTE, FL 33952
Internal Medicine
3400 TAMIAMI TRL, SUITE 104
PORT CHARLOTTE, FL 33952
Massage Therapist
3400 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Obstetrics & Gynecology
3400 TAMIAMI TRL, SUITE 102
PORT CHARLOTTE, FL 33952
Internal Medicine
3400 TAMIAMI TRL, SUITE 104
PORT CHARLOTTE, FL 33952
Allergy & Immunology
3400 TAMIAMI TRL, STE 201
PORT CHARLOTTE, FL 33952
Allergy & Immunology
3400 TAMIAMI TRL, SUITE 201
PORT CHARLOTTE, FL 33952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Jan Kelley PA's NPI number?

The NPI number for Dr Jan Kelley PA is 1417208000. It was assigned to this organization in the NPPES registry on September 24, 2012.

Where is Dr Jan Kelley PA located?

Dr Jan Kelley PA is located at 3400 Tamiami Trl Suite 103, Port Charlotte, FL 33952. The listed phone number is (941) 625-2667.

What is Dr Jan Kelley PA's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Dr Jan Kelley PA was last updated on September 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.