MRS. KELLY DANAE VOTH


Address: 2614 N Wilton Ave, #1, Chicago, IL 60614-7999
Phone: 6202001086

MRS. KELLY DANAE VOTH (NPI# 1386083061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386083061
Entity Type Individual
Full Name MRS. KELLY DANAE VOTH
Credential AGNP
Practice Address 2614 N Wilton Ave
#1
Chicago
IL 60614-7999
Practice Telephone 6202001086
Mailing Telephone 6202001086
Enumeration Date 2013-06-17
Last Update Date 2013-06-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
209010428 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2614 N WILTON AVE
#1
City CHICAGO
State IL
Zip Code 60614-7999

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60614

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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