DR. Kenneth Wallace, D.C.

NPI #1952706673 in Titusville, Florida

Provider Information

NPI Number: 1952706673
Entity Type: Individual
Name: DR. Kenneth Wallace, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Oct 23, 2014
Last Updated: Oct 23, 2014

Practice Location

Address: 119 S PARK AVE
City: Titusville
State: Florida
ZIP Code: 32796-3377
Phone: (321) 226-1115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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