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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEVIN G WYNNE, D.C.

Deactivated Sole Proprietor

DR. KEVIN G WYNNE, D.C. is a Chiropractor healthcare provider located in LAKE MARY, Florida. NPI 1710970686 is deactivated in the NPPES registry. Verify at CMS.

Chiropractor · LAKE MARY, FL

This NPI has been deactivated. The record was deactivated on March 27, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1710970686
Provider Type
Individual
Gender
Male
NPI Issued
Aug 25, 2005 (0.58630136986301 yrs)
Last Updated
Oct 7, 2011
Deactivated
Mar 27, 2006
License
CH7382 (FL)
Sole Proprietor
Yes

Practice Information

Address
365 WAYMONT CT
SUITE 101
LAKE MARY, FL, 327463552
Browse FL providers · Browse ZIP 32746
Phone
4073219191
Fax
4073219899
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Providers in LAKE MARY, FL

Name Credential NPI
JOHN R LYNADY III D.C. 1669407359
DR. NEAL WIEDER D.C. 1992806392
DR. CONRAD B DANCY D.C. 1497881452
DR. PAUL TOMA D.C. 1760518419
ROBERT SAXMAN CUNNINGHAM JR. DC 1518097633
DR. JASON BRIAN MASTERS D.C. 1700916707
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.