Provider Demographics
NPI:1174094882
Name:PEEPLES, KATHERINE JANE WELCH (DC)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:JANE WELCH
Last Name:PEEPLES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KATHERINE
Other - Middle Name:JANE
Other - Last Name:WELCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:4837 CELIA CIR E
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-2405
Mailing Address - Country:US
Mailing Address - Phone:863-529-5996
Mailing Address - Fax:
Practice Address - Street 1:3137 S FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-4563
Practice Address - Country:US
Practice Address - Phone:863-937-4879
Practice Address - Fax:863-588-0195
Is Sole Proprietor?:No
Enumeration Date:2018-12-07
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12636111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor