Wallace, Kenneth

Wallace, Kenneth is an sole proprietor health care provider with primary practice located at 119 S Park Ave , Titusville FL 32796-3377. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wallace, Kenneth can be contacted via phone (321) 226-1115.

Contact Information

Primary practice address
119 S Park Ave Titusville FL 32796-3377
Phone: (321) 226-1115
Fax: (321) 251-6091
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH 11302 Florida

Profile Details

NPI number 1952706673
LBN Legal business name Wallace, Kenneth
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2014
Last updated Oct 23rd, 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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