Individual provider · Type 1 NPI

Kenneth T. Licciardi, DC

Chiropractor · Gainesville, FL

NPI number 1043382559 Active

Practice location

810 NW 6th St
Gainesville, FL 32601-4253

Call (352) 378-7888 Map

Fax (352) 378-4130

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH0003103 (FL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1043382559

Kenneth T. Licciardi, DC's National Provider Identifier is 1043382559, issued on Nov 14, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Gainesville, FL. The record was last updated on Jun 8, 2009.