Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH WALLACE, D.C.
Active Sole ProprietorDR. KENNETH WALLACE, D.C. is a Chiropractor healthcare provider located in TITUSVILLE, Florida. NPI 1952706673 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · TITUSVILLE, FL
Registration Details
- NPI Number
- 1952706673
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2014 (11.807282535279 yrs)
- Last Updated
- Oct 23, 2014
- License
-
CH 11302 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
119 S PARK AVETITUSVILLE, FL, 327963377Browse FL providers · Browse ZIP 32796
- Phone
- 3212261115
- Fax
- 3212516091
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in TITUSVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. DAYNE ALAN DEEDS | CHIROPRACTOR | 1891765988 |
| DR. STEVEN LOUIS SMITH | D.C. | 1821058983 |
| MRS. JOANIELEE KRIZ | D.C. | 1083662993 |
| KEVIN J DEMERS | DC | 1326080151 |
| DR. DAVID GARY DALY | D.C. | 1831120138 |
| DR. PAULA LAKEMAN | D.C | 1649459009 |
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.