KENNETH WALLACE

TITUSVILLE, FL
NPI1952706673
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: FL  CH 11302)
Enumeration Date2014-10-23
Last Update Date2014-10-23
Business Address
Dr. KENNETH WALLACE D.C.
119 S PARK AVE
TITUSVILLE, FL 32796-3377
Phone number: 321-226-1115
Mailing Address
Dr. KENNETH WALLACE D.C.
119 S PARK AVE
TITUSVILLE, FL 32796-3377
Phone number: 321-226-1115
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