Provider Demographics
NPI:1376628982
Name:VORIS, KERRI L (DC)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:L
Last Name:VORIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:KERRI
Other - Middle Name:L
Other - Last Name:BRYANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1465 ENCINITAS BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2951
Mailing Address - Country:US
Mailing Address - Phone:760-753-6808
Mailing Address - Fax:760-753-6315
Practice Address - Street 1:1465 ENCINITAS BLVD STE H
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2951
Practice Address - Country:US
Practice Address - Phone:760-753-6808
Practice Address - Fax:760-753-6315
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25960111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor