Provider Demographics
NPI:1801243837
Name:VOEGELI, JENNIFER (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:VOEGELI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:SHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:11644 W 75TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1372
Mailing Address - Country:US
Mailing Address - Phone:913-248-9900
Mailing Address - Fax:913-248-9902
Practice Address - Street 1:11644 W 75TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66214-1372
Practice Address - Country:US
Practice Address - Phone:913-248-9900
Practice Address - Fax:913-248-9902
Is Sole Proprietor?:No
Enumeration Date:2016-05-19
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05802111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor