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Dr. Kenice Anne Grand, DC
Chiropractor in Port Orange, Florida
NPI 1215944855

Kenice Anne Grand is a Chiropractor based in Port Orange, FL. Kenice Anne Grand practices in Port Orange, FL and has the professional credentials of DC. The NPI Number for Kenice Anne Grand is 1215944855 and holds a License No. CH0006374 (Florida).

The current practice location address for Kenice Anne Grand is 4705 S Clyde Morris Blvd, Port Orange, FL and can be reached out via phone at 386-763-2763.

Location: 4705 S Clyde Morris Blvd, Port Orange, FL, 32129-4103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215944855
Provider Name
Kenice Anne Grand
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
4705 S Clyde Morris Blvd, Port Orange, FL, 32129-4103
Phone Number
386-763-2763
Fax Number
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000872000 05 FL
institution
Provider Business Practice Location Address Details
Address
4705 S Clyde Morris Blvd
City
Port Orange
State
Florida
Zip
32129-4103
Phone Number
386-763-2763
Fax Number
person
Provider Business Mailing Address Details
Address
4705 S Clyde Morris Blvd
City
Port Orange
State
Florida
Zip
32129-4103
Phone Number
386-763-2763
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH0006374 (Florida)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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