Whidden, Kenneth Davis

Whidden, Kenneth Davis is an individual health care provider with primary practice located at 501 Harbor Blvd Suite C, Destin FL 32541-2348. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Whidden, Kenneth Davis can be contacted via phone (850) 654-1850.

Contact Information

Primary practice address
501 Harbor Blvd Suite C Destin FL 32541-2348
Phone: (850) 654-1850
Fax: (850) 654-9994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X CH8151 Florida

Profile Details

NPI number 1700876729
LBN Legal business name Whidden, Kenneth Davis
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jan 15th, 2011 - about 13 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 1700876729 NPPES
Florida MEDICAID 381569200

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