Davis, Kenneth William

Davis, Kenneth William is an individual health care provider with primary practice located at 381 Palm Coast Pkwy Sw Unit 2, Palm Coast FL 32137-4781. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Davis, Kenneth William can be contacted via phone (386) 264-6800.

Contact Information

Primary practice address
381 Palm Coast Pkwy Sw Unit 2 Palm Coast FL 32137-4781
Phone: (386) 264-6800
Fax: (386) 264-6802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH7277 Florida

Profile Details

NPI number 1740301886
LBN Legal business name Davis, Kenneth William
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Jun 3rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740301886 NPPES
Florida MEDICAID 381133600

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