DR. Kenneth T Licciardi, DC

NPI #1043382559 in Gainesville, Florida

Provider Information

NPI Number: 1043382559
Entity Type: Individual
Name: DR. Kenneth T Licciardi, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Nov 14, 2006
Last Updated: Jun 8, 2009

Practice Location

Address: 810 NW 6TH ST
City: Gainesville
State: Florida
ZIP Code: 32601-4253
Phone: (352) 378-7888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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