person
Dr. Kenneth Wallace, DC
Chiropractor in Titusville, Florida
NPI 1952706673

Kenneth Wallace is a Chiropractor based in Titusville, FL. Kenneth Wallace practices in Titusville, FL and has the professional credentials of DC. The NPI Number for Kenneth Wallace is 1952706673 and holds a License No. CH 11302 (Florida).

The current practice location address for Kenneth Wallace is 119 S Park Ave, Titusville, FL and can be reached out via phone at 321-226-1115 and via fax at 321-251-6091.

Location: 119 S Park Ave, Titusville, FL, 32796-3377
person
Provider Profile Details
NPI Number
1952706673
Provider Name
Kenneth Wallace
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
119 S Park Ave, Titusville, FL, 32796-3377
Phone Number
321-226-1115
Fax Number
321-251-6091
Provider Enumeration Date
10/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
119 S Park Ave
City
State
Zip
32796-3377
Phone Number
321-226-1115
Fax Number
321-251-6091
person
Provider Business Mailing Address Details
Address
119 S Park Ave
City
State
Zip
32796-3377
Phone Number
321-226-1115
Fax Number
321-251-6091
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
CH 11302 (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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