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:
Health care specialties
| Specialty | Code | License # | 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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